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HomeMy WebLinkAbout34299-ZFORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Buildin9 Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33974 Date: 09/24/09 THIS CERTIFIES that the building ADDITION Location of Property: 1425 STANLEY RD (HOUSE NO.) (STREET) County T~xMap No. 473889 Section 106 Block 8 Subdivision Filed Map No. __ Lot No. __ MATTITUCK Lot 9 (HAMLET) conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 10, 2008 pursuant to which Building Permit No. 34299-Z dated NOVEMBER 17, 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 ROOF OVER EXISTING REAR PATIO AS APPLIED FOR. The certificate is issued to EMMANUEL & IRENE DIA/(OGEORGIOS ( OWNER ) of the aforesaid building. SUFFOLK COI~F!~YDEPARTMENT OF HEALTH APPROVAL N/A EL~-rRICAL CERTIFICATE NO. 4031115 08/31/09 PLIERS c~KTIFICATION DA'£mO N/A /~~Ahorzzed~ 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 following: A. For new building or new use: 1. Final anrvey °f 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 eteetrical installation from Board of Fire Underwriters. 4. Sw0m statement from plumber certifying that thc solder used in system contains less than 2/10 of 1% lead. · 5. Commercial building, industrial building, multiple residences and similar buildings and/nstallations, 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: i. Accurate survey of property showing all property lines, streets, building and unu features. 2. A properly completed application and consent to inspect signed bythe applicant denied, the Building Inspector shall state the reasons therefor in writing to the aF C. Fees 1. CertificateofOccupancy - New dwelling $25.00, Additious to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory buil¢ 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 Oeeupancy - Residential $15.00, Commercial $15.00 Date New Construction: ~ Old or Pre-existin~ Building: . (check one) House No. Street ' Hamlet OwnerorOwnersofPropeny: ~------------~,~,".~ar~v.e[ ~¢,O.~LO~or~Jo .j Sufro ¢ounty' ' ', ap ol000, Section?/ '7, S /O$Bl& Subdivision 2 UfO __ ~_ r Filed Map. ~ Lot:--4~ PermitNo. Sq~ DateofPennit./~.r~.-og Applicant: Health Dept. Approval: ~ Plarming Board Approval: .Request for: Temporary Certificate Fee Submitted: $ Underwriters Approval: Final Certificate: ~ (check one) - ~. Applicant Sig~o~ure {'J BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS 40 BUREAU OF ELECTRICITY FULTON STREET ~ NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by .... PECONIC ELECTRIC CORP P.O. BOX 1258 QUOGUE, NY 11952, IRENE DIAKOGEORGIOUS 1425 STANLEY RD MATTITUCK, NY 11952 Located at 1425 STANLEY RD MATTITUCK, NY 11952 Application Number: 4031'1`15 Certificate Number: 4031'1'15 Section: Block: Lot: Building Permit: 34299 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: rear porch,Outside, Porch, 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 the31st Day of August, 2009. Name QTY Rate Ratina Circuits Twe Wiring And Devices Fixture 5 0 incandescent Paddle Fan 1 0 Switch 3 0 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. 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. 34299 Z Date NOVEMBER 17, 2008 Permission is hereby granted to: EMMANUEL&IRENE DIAKOGEORGIOS 21-11 37 STREET ASTORIA,NY 11105 for : CONSTRUCT ROOF OVER EXISTING REAR PATIO TO EXISTING SFD AS APPLIED FOR. at premises located at County Tax Map No. 473889 Section 106 pursuant to application dated NOVEMBER Building Inspector to expire on MAY 1425 STANLEY RD MATTITUCK Block 0008 Lot No. 009 10, 2008 and approved by the 17, 2010. Fee $ 200.00 ~~A'u t ho r~i z e~dd ~S i~n a t ure ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ]RRE RESISTANT ~UCTION [ ] ROUGH PLBG. [ ] INSULATION [~]~FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION REMARKS: DATE ~"~- / ~- ~ ? INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG.  [ ]INSULATION [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] RRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS:~ _ _ DATE INSPECTOR 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: DATE /~""~ "-/~"~ '~ IFrI~I.D IZNSPECTIONREPORT I DATE .I I PL~G ~S~ATION PER N. Y. STATE ENERGY CODE ,, ~D~ON~ CO~S TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOIfI'HOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown. NorthFork.net Examined I t I t-~ ,20©~ Approved Disapproved Expiration · PERMIT NO. 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 Flood Permit Storm-Water Assessment Form Contact: Phone: ~ ~ x\ Building Inspector ,, ~,~PPLICATION FOR BUILDING PERMIT a~s a~n MUST be completely filled ~ by t~ewhter or in ~ ~d submi~ed to the Building ~spector with 4 sets of pl~ate plot pl~ to scale. Fee accor~g to schedule. b. Plot plan show~g location of lot and of buildings on premises, relations~p to adjoining premises or public streets or ~e~, ~d wate~ays. c. ~e work covered by this application may not be co~enced before issu~ce of Building Pe~it. d. Upon approval of t~s application, the Building ~spector will issue a Building Pemit to the applicam. Such a pe~it shall be kept on the premises available for inspection t~oughout the work. e. No building shall be occupied or used in whole or in pa~ for ~y p~ose what so ever ~til the Building Inspector issues a Ce~ificate of Occupancy. L EveU building pe~it shall expire if the work authorized has not commenced within 12 momhs after the date of issuance or has not been completed within 18 motors &om such date. If no zoning amendments or other re~lations affecting the prope~y have been enacted in ~e intedm, the Building ~spector may authorize, in wdfing, the extension of the pe~it for an addition six motors. Thereager, a new pemit shall be required. ~PLICATION IS HE,BY M~E to the Buil~ng Depanmem for the issuance of a Building Pemit pursuam to the Building Zone Ordin~ce of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordin~ces or Re~lmions, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The applicant a~ees to comply with all hpplicable laws, ordin~ces, building code, housing code, ~d re~lations, and to a~it autho~zed inspectors on premises and in building for necessaU inspections. (Signature of applicant or name, i~ co~oration) (Maili~ ad&ess of applic~t) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Nameofownerofpremises ~'~rxx[ t '"~c~.~xe ~)(CkkOfieo¥"~l'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 w,~ill Oe done: House Number Street Hamlet County Tax Map No. 1000 Section [ O(.t9 Subdivision.Jo r~ $'~'V ~h 0 IL.5 Block 0 8 Filed Map No.. Lot q Lot State existing use and occupancy of premises and intendeg[use and ,occupancy of proposed construction: use and occupancy ,~ i ~ q I ~ dr-' t~v~, I ,- [ a. Existing , J/ b. Intended use and occupancy S(wcl['e- -~tq-v~,] / Nature of work (check which applicable): New Building Addition Repair Demolition Removal oo ')..-0 ] 0 0 0 '-"~-~ Fee Estimated Cost 5. If dwelling, number of dwelling units If garage, number of cars --- ----- Number of dwelling units on each floor Alteration 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front ,~5'. ~l Rear ti- ~, + ~. '~ Height Number of Stories Dimensions of %ame struetare with alterations or auditions: ~-rom Depth Height Number of Stories Dimensions of entire new construction: Front 7~)._Go ~ Rear ~ Height I ~ ~ Number of Stories Size oflot: Front [Il,l! Rear [tt,tt Depth Depth Depth [ ~ ' 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated ~ i t,, q ]-e ~ t,,,x, i '4 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO /X 13. Will lot be re-~aded? YES NO X~ Will excess flu be removed from premises? YES NO 14. NamesofOx3nerofpremises piqlXOO~e~.r~iO,~ddress CtS*'or,'q ql0~ PhoneNo. 6ll?-~l-~--3¥.23 Name of Architect "w~tr~ '~ vi~>ee~cos~ ( Address Phone No NameofContractorgge~,,eM- '¢D~av~.t~,~ Address ~Ol~ 15 a. Is this property 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 ora 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. 18. Are there any covenants and restrictions with respect to this property? * YES NO /K7 · IF YES, PROVIDE A COPY. CONNIE D. BUNOH NotaPy Public. State of New No. 01BU6185050 ,, qua!~ i~Suffo~k County uomm~ssmn ,':xp~res April 14, 20 STATE OF NEW YORK) SS: COUNTY OF ) C~l~VvxOxqk ~ C.~.6[~-~xc~5 '--~'-'/,.- being duly sworn, deposes and says that (s)he is the applicant (Name of individual 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 tree 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 I O '-]'4~ dayof [,x'~'., ~:orh ~.'O~ 2008 Notary Public Signature of Appli?ant Town of SQ:uthold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM Ite__m N_Umber: 1 2 PROPERTY LOCATION: $.C.T.H, #: THE FOLLOWING ACTION8 MAY REQUIRE THE 8UBMI881ON OF A STORM-WATER~ GRADINGr DRAINAGE AND EROSION CONTROL pU.~ CERTIFIED BY A DESIGN PR,0FESEIONAL IN THE STATE OF HEW 3 (NOTE: A Check Mark (~) for each Question is Required for a Complete Application) Witl this Project Retain All Storm-Wa[er Run-Off GenefaIed by a Two (2") Inch Rainfall on Sile? (This Item will include all run-off creeled by site clearing and/or construction activities as well as all Site Irnprovemen[s and the pprmanent creation of impervious surfaces.) Does the Site Plan and/or Survey Show All Proposed Drainage Structures Indicating Size & Location? This Item shall include all Proposed Grade Changes and Slopes ConVolling Surface WaterPtowl 4 Will this Project Require any Land Fil[ing, Grading or Excavation where there is a change to the Natural Existing Grade Involving more than 200 Cubic Yards of Matedal within any Parcel? Will this Application Require Land D s urbing Ac ivi(ies Encompassi.ng an Area in Excess of Five Thousand (5,000 Square Feet Gl Ground Surface? 6 .is [here a Natural Water Course Running through the Sile? Is this Project within tl~e Trustees jurisdiction or w,i[hin One Hundred (100') feel Gl a Welland or Beach? Wilt there be Site preparation on Existing Grade Slopes which Exceed Filteen (15) [eel Gl Vedical Rise Io One Hundred (100') of Hodzonlal Distance? Yes 1'4o 7 Will Driveways, Parking Areas or other Impervious Sudaces be Sloped lo Direct Storm-Wa[er Run-Oft into and/or in the direction of a Town hght-of-way? 8 Will this Project REquire the Placement El Material, Removal of Vegetation andlo¢ the Construction El any Item Within the Town Right-El-Way or Road Shoulder Area? (This item will ROT include Ihe Installalion of Driveway Aprons.} Wilt this Project Require Site Preparation within [he One Hundred (100) Year Floodplain of any VVatercourse? 9 ROTE: 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 Building Perm[ti EXEMPTION~ Ye._.~s Does this projecl meet the minimum standards for classification as an Agriculture[ Project? Note: I! You Answered Yes to Ihis Question, a Storn1*Water, Grading, Drainage & Erosion Conlrol Plan is NOT Requiredl -- -- CONNIE O BUNCH STATE OF NEW YORK, Notary Public, ~tate 0f New Y0i. k COUNTY OF .......................................... SS No. 01BU6185050 Co Q. ua!ifi~ in. Suffolk. County , ,., A~d that'h¢/sh¢ i~ IJ'~¢ ' Owner and/or rel)rrseJ-~tabv¢ of [J~e Owner ct O ~ '~¢r $, ;[nd is duly authorized to p~rl-orm or have performed the said work ~md to make ~(t file this appbcadon; d~at ail ~tatement,s contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the m:umer set forth in the application filed herewith. Sworn to before rue this; FORM - 06/07 ' .~-y TOWN OF SOUTHOLD PROPERTY RECORD CARD _~ -/~ -~'- ~ ~ · ~ow~, ER STREET / .~..O,.:.. R ~__~ ~ . .. RES. ~ VL FARM CO~. CB. M!CS Mkt. V~lue ~ND I~. TOTAL DATE R~RKS ' I ~?PO ET~ AGE BUILDING CONDITION ' I. · . FARM Acre Value Per Value Acre Tillable FRONTAGE ON WATER Wetland /' FRONTAGE ON ROAD Meadowland DEPTH House Plot BULKH~D Total D~K TRIM Ex-temsion E~l~nsion 106.-8-9 4/0'/ 3.00 Foundation Basement ). C. · ,. Bath ,~ ~ Floors Ext. Walls Fire Place "Type Roof RecreatiOn Room Dormer Interior Finish Heat Rooms 1st Floor Rooms 2nd Floor Driveway Dinette LR. DR. BR. FtN. B COLOR TRIM Exteneion Extension I.,/.9o Foundation . C ' Basement ~_~,C~ IFIoors Porch COMPLY \ri~TH .~J i coDES OF NEW YOR,< ¢-q ,'-~ i ~ & TOWN CODES AS REQL!! ' '-' Ai',~D CONDITIONS OF ~- . ....... SOU.THOLDTOWN ZBA _ SOUTHOLD'TOWN PLANNING BOARD . SOUTROLD TOWN TRUS.T£ES N.¥.S. DEC USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY UNDERWRITER$.CER:I'IFICATE ,REQUIRED REAR ELEVATION SCALE: 1/4" = 1'-0" RETAIN STORM WATER RUNOFF PURsuANT TO CHAPTER 236 OF THE TOWN OODE. ALL CONSTRUCTION 8RALL /MEET THE REQUIREMENTS OF THE CODEs OF NEW YORK STATE. CERTIFICATION OF NAILING & CONNECTIONS REQUIRED. APPROVED AS NO'[ED 765-1802 8AM TO 4PM FOR THE FOLLOWING INSPECTIONS: "~1. FoUNDATIOR ' TWO REQUIRED FOR pOURED CONCRE'fE 2. ROUGH - FRAMING & pLUMP, lNG 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SRM-L MEET THE OF THE CODES OF NEW NOT RESPONSIBLE FOR cONSTRUCTION ERRORS. RIGHT ELEVATION SCALE: 1/4" = 1'-0" STANLEY ~O,~D, MATTITLICt~, NY EXISTING , EXISTING FOUNDATION PLAN SCALE: 1/4" = 1'-0' STANLEY EXISTING EXISTING EX. PATIO 1ST. FLOOR PLAN SCALE: 1/4" = 1'-0' 5T,zl, NLE"r' R:OAE), M~TTiTLIC<:., NY 22, 2OO~ .SCALE 1/4" = I'O" J~ EXISTING , ROOF PLAN SCALE: 1/4" = 1'-0' 5T~NLE'r' f~OAD, MATTITLIC.~, Nh' 5¢pt~mb¢r 22, 2OO¢ scAg~ 1/4" = 1'O" JD STORM WATER MANAGEMENT DETAILS N.T.S. DRYWELLSTO BE ID' MIN. AWAY FROM HOUSE DRY WELLS: NEW ROOF AREA: 617,5 SQ. FT. AT 100% WATER RUN OFF: 103.1 CU. FT. PROVIDE: (I) 8' D]A. X 4' DEEP DRYWELL CAPACITY: :L69 CU, FT. POST TO RIDGE PIER 24X2~X12 CON£,FTO, SECTION A-A SCALE: 1/4" = 1'-0" STA, NLE'Y ~O,4E), hl,~,TTITUO,~-., T~' ,~ 5~tember 22, 200E, SCA~.E I/4" -- I'0" JD WIND LOAD PATH CONNECTION AND CONSTRUCTION DETAIL DRAWINGS I CLIMATIC & GEOGRAPHIC DESIGN CRITERIA RA R-TO-LED NNECTION m~D~S~Em~NUmSmEm~ D~Rr~[ON ~ON /ONNECrEACH~ NAILING SCHEDULE N ~ ~- ROOF FRAMING: pOST-TO-GIRDERIHEADER CONNECTION i OVER P~TITION WFCM ' SBC ~P N~L m~ . ~ ~ --~ DECK FRAMING: TOPPLATE TO 2. ~Bd COMMON PER FACE NAiL TOP pLATE FOOT TOP PLATE~ AT 4, ~6d COMMON JOINTB FACE INTERSECTIONS F~ BIDE NAIL ST,4NLE'Y ~OA[::', ~,A, TTITLICK, NY ~:~ 5e~temE~er 22, 2OOE, SCA~ 114"