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HomeMy WebLinkAbout34105-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33913 Date: 08/24/09 I~{IS CERTIFIES that the building ADDITIONS & ALTERATION Location of Property: 1830 BRAY AVE (HOUSE NO.) (STREET) Co~t¥ Tax Map No. 473889 Section 126 Block 7 Subdivision Filed Map No. __ Lot NO. __ LAUREL Lot 22 (HAMLET) conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 9, 2008 pursuant to which Building Permit No. 34105-Z dated AUGUST 12, 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 HEATED FOYER TO CONNECT EXISTING ADDITION AND REAR SCREENED PORCH ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to PLACID E & OLETA M MELISSARI (OWNER) of the aforesaid building. S~FOLK C~)~ DEPART~T OF N~AL~4 APPROVAL N/A EI~¢~l-~If3%5 ¢~TIFICAI~ NO. 4030599 07/29/09 i~L~ERS ~'rIFICATION DA'r~ N/A Rev. 1/81 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the followmg: A. For new building or new use: 1. 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 sewemgeqlisposal (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. Commercial building, industrial building, multiple ~sidences 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) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property 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 1. 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. Certificate of Occupancy on Pre-existing Building - $100.00 3 Copy of Certificate of Occupancy - $.25 4 Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00. Commercial $15.00 Date. New Construction: Location of Property'~ t ~ 3 0 House No Owner Or Owners of Property:~N- ~) ]~ ~ C_, County Tax Map No 1000, Section Suffolk Subdivision Permit NoX 3 ~ ( O -5-- Health Dept. Approval: Planning Board Approval: Old or Pre-existing Building: (check one) Strut H~let Date of Permit. Block "7 Lot Filed Map. Lot: Applicant: Underwriters Approval: .Request for: Temporary Certificate Fee Submitted: $ Final Certificate: × (check one) (/~plicant 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 PLAEID & OLETA MELISSARI PUMILLO ELEC. 210 PAt LN 1830 BRAY AVE MATTITUCK, NY 11952~1354, LAUREL, NY 11948 Located at 1830 BRAY AVE LAUREL, NY 11948 Application Number: 4030599 Certificate Number: 4030599 Section: Block: Lot: Building Permit:34105 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 thezglh Day of -JulY, 2009. Name QTY Rate Rating Circuits Type Wiring And Devices Fixture 1 0 Incandescenl Paddle Fan I 0 Receptacle 4 0 Gen, Purpose Switch 3 0 Gen, Purpose seal 1 of 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. 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. 34105 Z Date AUGUST 12, 2008 Permission is hereby granted to: LOUIS MELISSARI 1830 BRAY AVE LAUREL,NY 11948 for : HEATED 8'X 14' FOYER CONNECTING EXISTING ADDITION TO A SINGLE FAMILY DWELLING & A REAR 10' X 22' SCREENED PORCH AS APPLIED FOR at premises located at County Tax Map No. 473889 Section 126 pursuant to application dated JULY Building Inspector to expire on FEBRUARY 1830 BRAY AVE LAUREL Block 0007 Lot NO. 022 9, 2008 and approved by the 12, 2010. Fee $ 200.00 Authorized Signature ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION FRAMING / STRAPPING [~FINAL [ ] FIREPLACE & CHIMNEY ] FIRE RESISTANT CONSTRUCTION REMARKS: [ ] FIRE SAFETY INSPECTION ] FIRE RESISTANT PENETRATION INSPECTOR DATE TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY ] FIRE RESISTANT CONSTRUCTION [ [ ] ROUGH PLBG. (~INSULATION [ ] FINAL ] FIRE SAFETY INSPECTION ] FIRE RESISTANT PENETRATION REMARKS: DATE TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST ] FOUNDATION 2ND ] ROUGH PLBG. ]INSULATION ] FINAL ] FIRE SAFETY INSPECTION ] FIRE RESISTANT PENETRATION [ ] FIREPLACE & CHIMNEY ] FIRE RESISTANT CONSTRUCTION REMARKS: -- , DATE TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 [ ] INSULATION [ ] FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION / INSPECTION [//~ FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ]FIRE RESISTANT CONSTRUCTION REMARKS: //~'~- ~ 7~ ~"- ( INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION  [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS.'. /~ ',. ', .~/~_o~ ~,~, DATE TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION FOUNDATION 1 ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY ] FIRE RESISTANT CONSTRUCTION ROUGH PLBG. INSULATION FINAL FIRE SAFETY INSPECTION FIRE RESISTANT PENETRATION REMARKS: 3q'-Io,.T 7 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION ~ FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING / STRAPPING [ ]FINAL [ ]FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CO.~_~, 0~ [ ]F~,E?~ESISTAI~ ~PENETRATION REMARKS: " ~_ , DATE /O-20-°~iNSPECTOR ~ C OIVlI~IiI~NT S DATE t Ii',r$1?ECTION REPORT FOUNDATION (1ST) FOUNDATION (2~' ROUGI{ FRAiVI~G & STATE ENER ~-~ CODE ADDITIONAL CO1VIiM~NTS TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 w~v. northfork, net/Southold/ D~p~o~d ~ PERMIT NO. BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the follovnng, before applying? Board of Health 4 sets of Building Plans Planning Board approval Check Septic Form APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS 0 ,20 o 7 Tt'Y~NN OF ~'3THO_LD b. PI~ pl~ ~o~ l~on of lot ~d of b~ld~ on ~s, ~l~om~p to ~joi~ ~ ~ p~lic ~ or c. ~e wo& ~v~ by ~s ~on may nm ~ ~ ~ i~ of B~l~g P~t. & U~n ~v~ of &is ~ ~ BuRd~g ~ ~H ~ue a Bulldog P~it m &e ~pli~L Such a ~it ~1 ~ ~ on ~e ~i~ ~ble f~ ~on ~o~ ~e w~ e. No ~il~ s~ ~ ~pi~ or ~ ~ ~ole ~ ~ ~ ~r ~y p~ ~ ~ ev~ ~1 &e Buil~g ~c~ i~ a C~fi~ offs. f. Ev~ b~ld~ ~t ~1 ~ if~e ~ ~ h~ not ~m~ ~M 12 m~s ~ &e ~ of ~ ~ve ~ ~ M ~ M~ &e B~l~ng ~ m~ ~ M ~g ~e ex~i~ of~e ~it f~ ~ M~fi~ six ~. ~, a n~ ~t ~l ~ ~ ~P~CA~ON IS ~BY ~E ~ &e B~ ~t br ~ i~ ora B&I~ P~t ~t ~ ~e B~ Z~ ~ of ~e To~ of ~1~ Suffo& ~, N~ Y~ ~d o~r ~pli~le ~, ~i~s ~ ~, ~ ~ ~on ofb&ld~ ~fio~ ~ ~o~ or f~ ~ov~ ~ ~oHfi~ ~ helm ~. %e ~ ~ ~ ~ly ~& ~ ~li~ la~ ~in~ ~il~ ~e, ~Mg ~ ~ ~l~, ~ to ~it ~ ~m ~ ~ ~d M ~l~ fer ~ ~. (Mailing ~ of ~l~t) State whelxher applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises ~-~ Vi' 5 Ne L, 5 -S,~ < (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. .~3~ ,~ - H Plumbers License No. Electricians License No. Other Trede's License No. 1. Location of land on which proposed work will be done: t 30 House Number Street HamK~ County Tax Map No. 1000 Section ~0~,~ Block "1 Lot g~ Subdivision Filed Map No. Lot (Name) State existing use and occupancy of premise3 and intended/u~e and occupancy of proposed construction: a. Existing use and occuponcy b. Intended usc and occupancy ~,<)xtd/V' fOE~ ['-~ - 3. Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost q [ -~: O[ .--],~ Fee 5. If dwelling, number of dwelling units If garage, number of cars Addition ~' Alteration Other Work (Description) (To be Imid on filing this application) Number of dwelling units on each floor ~ 6. I f business, commercial or mlxed oeeupancy, specify nature ond extent of each type o f use. 7. Dimensions of_existing sa'uetures, if any: Front ~ ~4' l~e.. Rear _Depth Height I ~.' { ~ Number of Stories 1~ Dimensions of same structure with alterations or additions: Front Depth. __Height i ~.' (~" Number of Stodes 8. Dimensions of entire new construction: Front ~,).i ~ Rear Height I ~-' ~ il Number of Stodes (') 9. Size of lot: Front Rear Depth Rear ~pth 3 ~1' 10. Date of Purohasc Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction viola~ any zoning law, ordinance or regulation? YES NO 13. Will lot be ro-gradcd? YES__ NO '~ Will excess fill be removed from premises? YES NOt~ 14. NamesofOwnerofpremiscs khqt.51'~,~I}5~ Address I<J,:~O~0-,~ Name of Architeet ~'c~C~-' ~v.~tx Address NameofCentraetor ~t.4t/~c£ f DecK._ Address 7Q, 15 a. Is this properly within 100 feet of a 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 foondation plan and distances to prol~"rty lines. 17. If elevation at any poim on property is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) SS: COUNTY OF ) (Name o~individual si~g contra~t) nbove n~med, - t (~r, Ag~ C~ Offi~, ~c.) of ~d ~ or ~ ~ is ~y ~ ~ ~ or ~ve ~ ~ ~d w~ ~d m ~ ~ file ~ ~li~fion; ~ ~ ~ mn~ ~ ~s ~li~ ~ ~ m &e ~ of~ ~wl~e ~d ~llef; ~ ~ ~ w~ Mll ~ ~ in ~ m~ ~ ~ ~ &e ~li~on fil~ ~&. ..,,~ - - No~'Y Public / OWNER FOR/v~ER OWNER LAND SEAS. IMP. NEW NORMAL Farm Acre Tillable 1 Tillable 2 Tillable 3 Woodland Swampland Brushland Ho~se Plot Total STREET '~ILLAGE E W ~ SUB. // TYPE OF BUILDING VL. FARM COMM. I N D. CB. TOTAL DATE REMARKS BELOW ABOVE FRONTAGE ON WATER Value Per Acre Value FRONTAGE ON ROAD BULKH~D D~K LOT MISC. 1 Est. Mkt. Value Extension Basement Floor~ TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET /~".,~,~, VILLAGE DIST. SUB. L°T ~? ~ ~ o~t'~/~. FOYER OWNER N E ACR.I I S W ~PE OF BUILDING ~ES~ ~ S~S. VL. FARM COMM. CB. MICS. Mkt. Value ~N D · IMP. TOTAL DATE R~RKS ~o 3~oo ~ot z/,/~z illable FRONTAGE ON WATER ~land FRONTAGE ON ROAD /~ ~ ~ ,/~ ~ ~ ~ ~ ~ ,eodowla.d DEPTH ouse Plot BULKH~D )ta I ~ ~3NMO COLOR TRIM M. Bldg. Extension Extension Extension Porch Porch Breezeway Garage Patio O.B. Total Foundation Basement Ext. Walls Fire Place Type Roof Bath Floors Interior Finish Heat Rooms Ist Floor Recreation Room Rooms 2nd Floor Dormer Driveway '~-- ' '~ _ ~.. ~' Foundation Bath Extension Basement . - Floors Ext. Walls Interior Finish Fire Place /~, Heat , /~ Porch Roof Type Town of $outhold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM PROPERTY LOCATION: S.C.T.M. #: District Sect~n Lot THE FOLLOWING ACTIONS MAY REQUIRE THE 8UBMISSION OF A STORM-WATER, GRADING~ DRAINAGE AND EROSION CONTROL PLAN CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. Item Number: 2 3 4 5 6 7 8 9 (NOTE: A Check Mark (~) for each Question is Required for a Complete Application) Yes No Will this Project Retain All Storm-Water Run-Off Generated by a Two (2") Inch Rainfall on Site? (This item will include all run-off created by site clearing and/or construction activities as well as all Site Improvements and the permanent creation of impervious surfaces.) Does the Site Plan and/or Survey Show All Proposed Drainage Structures Indicating S~ze & Location? This Item shall include all Proposed Grade Changes and Slopes Controlling Surface Wated=lowl Will this Project Require any Land Filling, Grading or Excavation where them is a change to the Natural Existing Grade Involving more than 200 Cubic Yards of Matedal within any Pamel? Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of Five Thousand (5,000) Square Feet of Ground Surface? Is there a Natural Water Course Running through the Site? Is this Project within the Trustees jurisdiction or within One Hundred (100') feet of a Wetland or Beach? Will there be Site preparation on Existing Grade Slopes which Exceed Fifteen (15)feet of Vertical Rise to One Hundred (100') of Horizontal Distance? Will Driveways, Parking Areas or other Impervious Surfaces be Sloped to Direct Storm-Water Run-Off into and/or in the direction of a Town right-of-way? Will this Project Require the Placement of Material, Removal of Vegetation and/or the Construction of any Item Within the Town Right-of-Way or Road Shoulder Area? {This item will NOT include the Installation of Driveway Aprons.) Will this Project Require Site Preparation within the One Hundred (100) Year Floodplain of any Watemourse? NOTE: If Any Answer to Questions One through Nine is Answered with a Check Mark In the Box, a Storm-Water, Grading, Drainage & Erosion Control Plan is Required and Must be Submitted for Review Prior to Issuance of Any Euilding Permit EXEMPTION: Yes 7 Does this project meet the minimum standards for classification as an Agricultural Project? . Note: If You Answered Yes to this Question, a Storm-Water, Grading, Drainage & Erosion Control Plan is NOT Requiredl __ __ (Narnel~f individual signi g~l~'nent)('~[ ~ 1L'-../~~ ~.~ ~.~/ ~ {in,~.j/.h ~ /'~ ( , , g , rp er, Owner and/or representative of the Owner of Owner's, and is duly authorized to perform or have performed the said work and to make and file this application; that all shatements 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 herewith. Sworn to before me tiffs; ........... ........ ......... FORM - 06/07 CONSTRUCT 0N DOCUHENTS FOR THE RESIDENCE AT 1830 R AY AVE]N UE p, MATTITUCK, NEW YORK JULY 9 2008 OCCUPANCY OF{ USE IS UNLAWFUL WITHOUT CERTIFICAT OF OCCUPANCY CER'[IFICATION OF NAILING & CONNECTIONs REQUIRED. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. APPROVED AS NOTED ~."~ ' ?¢{~t_._.-~- ~:E}BZ~-tTc~," t~ ~,TER RUNOFF ~,7.~ d.iAPTER 238 ~, IN[TIAL LATE~T ISSUANGE A I ~HEDULES, NO~5 ~ DETAILD ~[I~/L~L~[~ ~Ah41N~ NOTED: 5ILL PLATE T'r'PICAL Fg~,AMIN~ ~ETAIL. (~AT P4ALL OPt=NIN¢¢ ~)~ETAIL @ t=OOTIN~ / t:=t~Ah,flN~ (~F:OUNDATION TO t=~AMIN¢ CONNt=CTiON~ [] E ~F=~OP05~O ~t~I~OLITION I~LAN EXIST. AC, C;E:55 TO REMAIN i ~F=~O~O~EO ~OLJNPATION J=LAN DIA. 5<~NOllJl~E DCN:~g F~I BELO~ CSRAOE (TYF'. (TO (HEATEO) (~P~,.OPO~ED t=LOOt~,, ~LAN t~Xh~,T, DATH CL. BALLAST PT. 22LO" ~-q-O~' 15:~:~1,~O FOR PL:5~I"ilT.~ AN[D C, ON~TRU~TION ~'-'/-O,¢' REVI.5~D A,5. PER BUILOIN6' DEF:~'F. COMi"IENT5 Z 4C z Z ~ z 0 ~ z ILl 5~IJAIi~I~. ~OOTAGr GAL.C4JIATION5 EXI.~TIN~ FIRST FLDOR - I/:::)7~,.OO ~:~. FT. PROPOSED FIRS, T FLOOR ADDITION - 120.OO 56~. FT. LOC, ATION J,,IITH OPINE~. , (~Pt~,OPO~EP I, NE~T t~IEYATJON / 12" PlA. ~ONG. ~NOTUt3~~'~/"/'1-1 (~,O~O~E~ ~OU'J'H t~L. EVATION ~ I~OOF OVEFR EXIST. ~OOP 4" VIN'r'L ~IPlN~. COLOR. TO BE 5ELEC.T~I L] LJ L] I I I I I I I I LJ LJ L J /j 12" I~IA. GONG. ff:~ONOTUE~E .2" CONG. RAT 51_AB. L I/4": I'-0" FOR PERMIT~ AND C, ON~T~UC. TION m Z ILl - IllI ~' P-J~MO'v'ED IN AREA OF NEIN EXIST, CL. / ~:XlST. EXIST[c,L. I? (~PI~OPOSm~ ~l=tvfOLITlON PLAN 2x8 EXIST. A(.OE55 EXISTIND 5LAD FOUNDATION PLAN -2"xlO" P.T. LED~,Ef~ I~. IN/ D/~,"X--3-I/'2" LAC BOLT ~, 24" O.C,. EX TI PORCH AREA (H~ATEO) EXIST. LIVIN~ AREA EXIST, I~ATH 2"X2" BALLAST ~ 4"X4Ij P.T. 22'-0" -/-q-O~ I¢:,SUED F~ PE-~htITE~ AND C, ONST~JAT, TtON g~-~-Og, REVISt~D A5 PER BUILDINE, DEPT. ~OMHENT5 "1 EIB'CATION COLOR TO I I I I 4" V'INT'L 51DIN~ COLOR TO LJ L J 12" [?lA. GONC. 50NOTtJD[ ~./ DDO0 P¢2100NG. MIN.J D&" DELOH C~t~,DE (-Pr'P. 1/2" xl½ .... (~)PIit, OPO~t~I2 EAST ELEVATION J PI;~OVIODID, RIE:,ER TO DE (2) 2xIo 16" O.C, (~E~TION (THRU 5~,EENE~ I/4" = l'-O"