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Home My WebLink About34913-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-34053 Date: 11/04/09 T~IS CERTIFIES that the building INTERIOR ALTERATION Location of Property: 4105 DEEP HOLE DR MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County T~x Map NO. 473889 Section 115 Block 16 Lot 23 Subdivision Filed Map No. -- Lot NO. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 30, 2009 pursuant to which Building Permit No. 34913-Z dated AUGUST 5, 2009 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 ALTER PORTION OF GARAGE TO LIVING SPACE IN AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to PETER J & JILL M DOHERTY ( OWNER ) of the aforesaid building. EuFFOLKCOi~rYDEPARTb~qTOF~L~"~AP~RO~-AL N/A ELRL-l~IC2%L C~RTIFICA~ NO. 8921 10/13/09 PL~ER~ CERTIFICATION DA'£~3 N/A Rev. 1/81 //Aut~ized/Signature ~ *' ICATION FOR CERTI]FICATE OF OCCUPANCY ~orm No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 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 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 sewerage-disposal (S.9 form). 3. Approval of electrical installation i¥om 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 residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for thc building. 6. Submit Planning Board Approval of Completed site plan requirements. 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 line~, 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-ex/sting 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 New Construction: Location of Property: Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Subdivision ['~/.,I) !4bl~.. PennitNo..h,4ql'3~_ DateofPermit. Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ Old or Pre-existing Building: House No. ~ - Street Block (checkone) Hamlet Lot ..~ Filed Map. ~.~21~ :%"~, Lot: ~- [ Applicant: ~'~l[ Underwriters Approval: Final Certificate: ~ (check one) ( Applicant $ignata~ Nassau Suffolk Electrical Inspections,Inc. P.O. Box 549, Aquebogue, New York + 11931 Tel: 631-591-3097 Fax: 631-591-3098 Application: 8921 Date: 10/13/09 Issued to: Doherty Address: 4105 Deephole Rd Introduced By: Big Blue Electric Village: Mattituck License#: 35348-ME Residential [] Commercial The following was examined and approved up to the above date and found to be in compliance with the NEC: Switches Receptacle Fixtures G.F.I. Microwave Hood Smoke Detectors 5 6 Fans Dishwasher Washer/Amps Dryer/Amps Oven RangcYAmps Carbon Monoxide I -Paddle fan Furnace Oil Gas Heat Zones Whirlpool ' Exit Signs Limited Insp. II Final lnsp Meter Amps Phase Motors II 10/12/09 Other Equipment: I-Fan Control Permitg:34913 Section: Block: Lot: This Certificate Cannot Be Altered In Any Manner FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUII/)ING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 34913 Z Date AUGUST 5, 2009 Permission is hereby granted to: PETER & JILL DOHERTY PO BOX 644 MATTITUCK,NY 11952 for : CONVERT PORTION OF ATTACHED GAR_AGE TO LIVING SPACE AS APPLIED FOR at premises located at 4105 DEEP HOLE DR County Tax Map No. 473889 Section 115 Block pursuant to application dated JULY 30, 2009 Building Inspector to expire on FEBRUARY MATTITUCK 0016 Lot NO. 023 and approved by the 5, 2011. Fee $ 200.00 Signature ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 [ ] F(] 1ST [ ] 2ND / STRAPPING ] FIREPLACE & CHIMNEY ION [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION R EMAR~~-~ ~/~ DATE INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ . ] ROUGH PLBG. [ ] FOUNDATION 2ND ['~ION [ ] FRAMING / STRAPPING [ ]FINAL [ ] FI~,~4~,E & CHIMNEY [ ]FIRE SAFETY INSPECTION [ ~'I~E RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION REMARKS: ~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ]FIRE RESISTANT CONSTRUCTION [ ] ROUGH PLBG. [ ] I~U~ATION [ ~,'FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESiSTANT PENETRATION REMARKS:__ DATE ~ INSPECTOR ,Town _of Sout_hold Erosion, Sed,mentatio, & Storm-Water Run-off ASSESSMENT FOR.~- Number:. THE FOL, LOWING ACTIONS MAy REQUIRE THE 8UBu~"='~ON OF I/b~..~, , [ I ~ /.~ ~L.~ .?~i-O~a~4N'ATERr __~__ DING~ D_R~__I_N~GE .aJ~ID EROSION ~)-t~OL O~M~t S.ctlor BIo<~ I.~ ~-=~l irlED BY A DESIGN PRrOrma~,aONAL IN THE STATE OF NEW YOitK' (NOTE; A Cbeck M~r~ (~) for each Question is Requirad fer a Complete Application) Yes 1 2 3 4 Will this Projeof Retath All Storm-Water Run-Off Gestated by a Two (2'J Inch Raln~all On Site? (Thls item will Inctude all mn-off created by site oloadng and/or oonstmctioa activities as well as all Site Improvefneofs and the pem~nent emagun of impervious surfaces.) Does the Site PI'am and/er Survey Show All Proposed Drainage Structures Indicating Size & Location? This Item shall inolede all Proposed Grade Changes and Slopes Controlling Surface Wate~-Iowi Will this Project Require any Land Ftiting, Grading or Excavation where there is a ci~ange to the Naturat Existing Grade Involving mom than 200 Cubio Yards of Mateflal within any Parcel? Will this Applicafiun Require Land Disturbing Activities Encompassing an Area in Excess of Five Thousand (5,000) Squere Feef of Ground Sudaco? 5 6 Is there a Na~rel Water Course Running through the Site? Is Ihis Project within the Trustees judsdicgon or within One Hundred [100') feet oi~ a Wetland or Beach? Will there be Site preparation on Exlstieg Grade Slopes which Exceed Fifteen (15) feet of Vertical Rise to One Hundred (100') of Hodzoutal Distance? 7 8 9 ~ill Driveways, Parking Areas or other Impervious Surfaces b~ 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 Matedal. Removal of Vegetation and/or the Construction of any Item Within the Town Right*of-Way or Road Shoulder Ama? (Thts item will NOT include the Installation of Driveway Aprons.) Will this Project Require Site Preparation within the One Hundred (100) Year Floodnleln of any Watercourse? NOTE: If Any' Answer to Questions One through Nine is Answered with a Check Mark in ~he Bex, a Storm-Water, Grading, Drainage & Erosion Controf Plan Is Requital and Must be Submitted for Review Prior to Issuance of Any Building PemllU EXEMPTiON: Yes No Does this project meet the minimum standards for olaesificaUca as an Agric~linral Project? Note: If You Answered Yes to this Questte~,, a Storm-Water, Grading, Drainage & Erosion Control Plan is NOT Requiredl STATE OF NEW YOlk, COUNTY OF ........................................... .SS r ............ ...........................du y s,vom, de.os h /sbe thc for ee.. And that he/she is the 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 s~atement~ contained in this application are a-ue ~o 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 this; , ~' ~'- .~ Notary Public, State of New York IN ta ' ~ ~(-~,~ ~" ~-.-.- NO. 01106190696 o ry Pubhc: ............. i......~.... .......... ,..... I)imlifled.in Suff~ Cmml~. . uommission Exoires lul~; 28, ~§ '~'~' ' FORM - 06/07 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net Examined Approved Disapproved a/c Expiration 2005' 3!q' .201 dUL 303 g 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: Mail to: Phone: kBuilding Inspector APPLICATION FOR BUILDING PERMIT Date ,20 INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 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 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 the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an addition six months. Thereafter, a new permit shall be required. 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 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 promises and in building for necessary inspections. ~/7~S~gnatu~e ~f applicarJdor name, ifa corporation) (Ma 1 ng address of applicant) }, [q~ State whether applicant i?ow~ner~ lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises ?ff__..~'~ 7~ ~.[ gv'X ~'~Z:v~tV-~r'q '(As o~ the t~x roll or la'st 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. 1. Location of land on which proposed work will be done: House Number ' Street ~ ' Hamlet County Tax Map No. 1000 Section Subdivision X"~, Block ~,('7 Lot bO--_''''3 Filed Map No. ~4,-9.5.(o Lot -5'-/ 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy Q-,dSC, A_a'th4',~ \ 3. Nature of work (check which applicable): New Building_ Repair Removal Demolition 4. Estimated Cost "'qJSO- (~90 Fee 5. If dwelling, number of dwelling units If garage, number of cars Addition Other Work Alteration (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 I h .% Rear Height. Number of Stories I Dimensions of same structure with alterations or additions: Front 13 .~' Depth 9~.~. '~F Height_ Dimensions of entire new construction: Front I ?_ -~ Height Number of Stories Size of lot: Front i~, O'D' Rear Depth /,DS .~L, Rear Number of Stori.~S ~ ,~,'- * Rear (%-q" t ~ ~r~_ Depth 10. Date of Purchase Wk/~--r_~ ~.?-. Name of Former Owner 11. Zone or use district in which premises are situated Q-~ ~ ~D 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO b/ 13. Will lot be re-graded? YES NO [/~ill excess fill be removed from premises? YES NO ~' 14. Names of Owner of premises ~)~4' 4z_'Y~ 1[ ~Jh~-~ress ~1~5 ~...~,7~-~'. Phone No. ),',',',',',',',',~' ,~7-_ NameofArchitect ~/~4'~ ~t'~2'~-~-?.. Address PhoneNo75,/, Name of Contractor Address Phone No. 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 of a 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__ · IF YES, PROVIDE A COPY. NO ~ STATE OF NEW YORK) SS: COUNTY OF ) '~ \\ ~'~x,~ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing c~bntract) 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 ,,.~O dayof ,..~'-'t.~ (t.,/ 20 0°] ~ a-.¢. VICKI T~H ~ ~'1 ~' .' Po~ic~N~ - '~ 0i~06i90696 Nota~ Public ~d in S~0]k ~u~ en ~0ims July 28,~ /~ /Q//~Sign~ TOWN OF SOUTHOLD PROPERTY RE¢:ORD CARD OWNER STRE~ /-"//0~ W~-U~G~ D,ST. SU~. ~_OT O'7 FORMER OWNER J N E AC, R~../ J J S~S. VL. FARM COMM. CB. MISC. Mkt. Value RES. ~D IMP. TOTAL DATE REMARKS Acre Tilloble 2 ~oodland Swampland FRONTAGE ON WATER Brushland FRONTAGE ON ROAD House Plot DEPTH BULKH~D [oral DOCK 115.-16-23 2/05 / 5 / ' z~" t Foundation / Dinette ':xtenS/i~n~' ~k/x' ,25' .- ~ ) Basement ,~,,// Floors ~2 K. E o~ ~ ~-'~ Ext. Walls v~ Interior Finish ,.~/~, LR. xtens~on z/~' 2 / / ~ 1 ~tension Fire Place ~ Heat ~.~ K2, DR. ~ /l~ ~ ~OO Type Roof ~.~ Rooms 1st Floor BR. Porch Recreation Roo~ Rooms 2nd Floor FiN. B. Porch Dormer Breezeway Driveway Patio ~ x o. .as M, Bid ,~8 x'.~' 7 ,.,(',7.)"'/) /(75' xtens)o~ .. ~ ~' .~ ~ _~ z~ COLOR TRIM Foundation 4~Le_m~eZ //_~- t IExt' Walls Bath Floors nterorFnsh KDinette J SLIFFo~ h' A ?6IIUE Lot G~ lot 50 '-'- Zot 52 SUBDIVISION MAP Fit=rD IN THE OFFICE OF ~'HE C~.£t~1( OF SUFFOI. K COUNT)' ON J~N. ~, 196~ ~S FI~ ~. 4256 SUFFOLK COUNTY TAX MAP CIST. IO00 SECT. II5 BLK. 16 LOT ~ ~ =STAKE SET YOUNG & YOUNG 'i~7~7~:D 400 OST~J~ER AVENUE, RIVERHEAD, NEW YORK N.¥,S, LI~. ~. SURVEY FOR: LOT NO. 5/, "DEE~OLE CR~ TOWN OF ~ATTITUCK B" DIA. (ONC. PIER, '-.. EXISTING EX. GARAGE .~?~PROJECT NORTH FOUND'A'T"TO~~~:~-o' PLAN ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY APPROVED AS NOTED FEE:~ B¥:~ NOTtFY 6U1LDIH;: -,=:p~'.-q'FMENT AT / BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL ME~ REQUIREMENTS OF THE CODES O,F N~~~? REQUIRED / DRAWN. MH / MS JOB #: A-i EXISTING ~ PROJECT NORTH FLOOR PLAN SCALE: 1/4" := 1'-0' 6' 10" DEN ~ EX. GARAGE 13'-0" REVISIONS DRA~, MH / MS A-2 4,, TYPICAL WINDOW OPENING {LESS THAN 4' OXS' D" OPENING) TYPICAL DOOR OPENING TYPICAL MULTIPLE OPENINGS (NORE THAN 4'-0X8' 0" OPENING) WIND-BORNE DEBRIS PROTECTION FOR WOOD STRUCTURAL PANEl AS PER TABLE 1609.1.4, N.Y.5. RES. CODE: ALTERNATIVE FOR OPENING PROTECTION (IF NOT USING It4PACT GLAZING) RES,check $off_,w~r~ Version 4_~:,~ Compliance Certificate Degree S~JIf~lk Co~n~. N~ WIND LOAD PATH CONNECTION AND CONSTRUCTION DETAIL DRAWINGS USE THE FOLLOWING APPROVED USP METAL CONNECTORS FOR PROPER WIND RESISTANT & GOOD CONSTRUCTION, FOLLOW MANUFACTURE'S RECOMMENDED INSTALLATION INSTRUCTIONS TO ACHIEVE MAXIMUM UPLIFT LOAD CAPACITY. REVISIONS < A-4 GENERAL NOTES CONSTRUCTION NOTES: FOUNDATION NOTES: rRAi'vuN~ NO, cS F ~/IND kRAMINCJ NO I I::S DECK AND COVERED PORCH NOTES: PLUMBING NOTES HVAC SYSTEM NOTES ELECTRICAL NOTES: ROOF FRAMING: WALL FRAMING: JOINT DESCRIPTION QTY SPACING FLOOR FRAMING: ROOF SHEATHFqG: CEILING SHEATHING: NAIL NAIL GYPSUM 5d COOLERS [0" O.C, FIE WALL SHEATHING: FLOOR SHEATHING: NOTES: FIRE PROTECTION [ SEE FLOOR PL&NS (SMOKE&CO2DETECTORSI I ~ I TRUSS DESIGN J N/A- 5TAN bARD STICK FRAME CONSTRUCTION CLIMATIC & GEOGRAPHIC DESIGN CRITERIA ROOF SHEATHING RE( UIREMENT$ FORWlND LOADS: NOTE~ ,-,~.u ~n~.~,, n.'~ ~,EQU.R~.M~ '~TS F'~,R"~ 4D LOADS. NOTE~ INTERtOR ZONE SEE NOTE: 3 NOTES NOTE: CONTRACTOR TO PROVIDE SOIL TEST TO VERIFY EXISTING CONDITIONS. MINh"4UM 3000# CAPAChT'Y. I OD