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35056-Z
FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEP~dlTMENT Office of the Building Inspector Town] Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-34640 Date: 10/27/10 THIS CK~TIFIES that the buildin9 BASEMENT ALTERATION Location of Property: 3200 SOUNDVIEW AVE MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map NO. 473889 Section 94 Block 2 Lot 5 Subdivision Filed Map No. __ Lot NO. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 2, 2009 pursuant to which Building Permit No. 35056-Z dated OCTOBER 8, 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 BASEMENT ALTERATION IN AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to BRI/LN & DIANA PESSIN (OWNER) of the aforesaid building. SUFFOLK COD1TrY DEPARTMENT OF HEALTH APPROVAL EL~t-rKICAL CKKTIFICATH NO. PLO~ERS C~K'rIFICATION DA'i'~u Rev. 1/81 11699 10/04/10 ROGER WISWISKI Sig ture 12/04/09 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. 35056 Z Date OCTOBER 8, 2009 Permission is hereby granted to: BRIAN PESSIN 3200 SOUNDVIEW AVE MATTITUCK,NY 11952 for : BASEMENT ALTERATION AS APPLIED FOR at premises located at County Tax Map No. 473889 Section 094 pursuant to application dated OCTOBER Building Inspector to expire on APRIL 3200 SOUNDVIEW AVE MATTITUCK Block 0002 Lot No. 005 2, 2009 and approved by the 8, 2011. Fee $ 200.00 / Authorized Signature ORIGINAL Rev. 5/8/02 Form Ne. 6 TOWN OF SOUTHOLD · BUILDING DEPARTMENT TOWN HALL 765-1802 · APPLICATION FOR CERTIFICATE OF OCCUPANCY This apphcat~on must be titled m by typewriter or ink and submitted t° the Building Department with thc A. For new building or new use: bllo Final survey Of pmpct~y with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. " · .2. Finsl Approval from Health Dept. 0f water supply and sewerage_disposal {S_9 form). · ~. Approval of electrical installation'from Board of Fire Underwriters. : 4. Sworn statmaeat fi-om plumber ceffifying that thc Solder used in system contains less than 2/10 of 1% lead., 5. Commercial building, industrial building, multiple msidenc~ and Simila~ buildings and installatioes, a ~cate' of Gode Compliance from architect, or engineer r~ponsible for thc building. '6. Submit Plsnning Board Approval of~ompleted site plan requirements. B..For exisfing.buildings.(prio~, to April 9, 19~7) non-conforming use~ 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, thc Building Inspector shall state thc reasons therefor in Writing to the applicant. C. Fees 1. Certificate of Occupancy - New dweiliag $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.0~], Swimming pool $25.00, Aece%o~ building $25.00, Additions to accessory building g25.00, Businesses $50.00. 2. Cg~rtificate of Ocqmpaneyon Pre,existing Building - $I00.00 3. ' Copy of Certificate of Occupancy - $.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate o£ Occupancy - Residential $15.00, Commercial $15.00 tXlCw Co~istruction: .... Old or Pm-eXisting Building: House N6. Street Subdivision ai itNo. 'mteofPe t. Health Dept. Approval: -/~(~' ]Planning Board Approval: N~ Request for: Temporary Certificate Fee Submitted: $ '~ ~*', ~0 z Filed Map. , ' Undetwriter~ Approval: Final Ceffificate: ~ / / (check 0ne) (checkone) Applicant Signature + SUFFOLK IN ~ P E C TO RS, in c. 40 Nottingham Drive, Middle Island, NY 11953 Telephone: 631 4958136 · Fax:631 9806455 · E-Mail: SBEIGS@gmail.com CERTIFICATE OF ELECTRICAL COMPLIANCE Applicant: Rough In Inspection Date: Application No.: Custom Lighting of Suffolk Dec 04f 2009 11699 Certificate No.: Final [nspection Date: Building Permit No.: 11699 Dec O4f2009 324622 County Tax Hap No.: 437889 094 0002 005 This Certificate of Electrical Compliance is limited to the inspection and compliance of electrical equipment and/or work described below, installed by the applicant named above, located at the premise of and not after the final inspection date above: Owner: Brian Pessin Site Location: 3200 $oundview Ave, Mattituck, NY 11952 O~i~e~'s Address (if different): [] Residential [] Indoor [] Basement [] Service [] Shed '[]'bommercial [] Outdoor [] First Floor [] Pool [] Hottub ~ New [] Renovation [] Second Floor [] Attic [] Garage [] Addition [] Survey Other: INVENTORY Single Phase Heat gas-p Duplex Recpt 1 Ceiling Fixture HID Fixtures 'Rlree Phase Hot Water GFCl Recpt i Wall Fixture Smoke Main Panel AC Cond Single Recpt 2-20a Recessed Fixture CO Detect S~b Panel i-poe AC alower Range Recpt Flourescent Smoke CO Combo Transformer Appliances Dryer Recur Emergency 'rime Clock Disconnect Switches Twist Lock Exit Fixtures Pumps 2 GFCI Breaker Heat Pump Electric Heat Pool Luminaire 4 Exhaust Fan Other Equipment: pool bonding, 1 hydraulic pump motor for cover, The electrical work and/or equipment described above were inspected and appear to be in compliance with local, state and national electrical code requirements and this office. Applicant: Custom Lighting of Suffolk Inspected By: Roger Richert ~gnature:~ License No,: Date Of Certificate: Aug 24,20t0 OCT 2 7 2010 BLDG. DEPT. TOWN OF SOUTHOtl) CERTI, FICATION Building Permit No.~ ~.~ ~ .----.~ (Please print) (Please print) Date: lead. I certify that the solder used in the water supply system contains less than 2/10 of 1% (Plumbers Signature) Sworn to before me this 4/~ dayof)~o~°~ , 20 tO Nota~ Public, -~t~Jc2- County TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION ] FOUNDATION 1ST [~OUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [~~ STRAPPING [ ]FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: DATE TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ]RRB RESISTANT CONSTRUCTION [ ] R~ ~.~.~.~.~.~.~.~.~.~. [/~4NSULATION [ ] FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION REMARKS: DATE INSPECTO~ ~~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSUL~,.~TION [ ] FRAMING / STRAPPING ~,1~FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ] ROUGH PLBG. [ ] ~UL~AT,~ION [~J~FINAL _~ ~~ [ ] FIRE SA,-.'. ,f' INSPECTION I 1 ~"F-S'STA"T C0~,C.O. I I F... ~ST,,~ REMARKS: ~/t~ ~ DATE ~ INSPECTOR l~'~gr,~ IN~'C'I~0N 17,.EP ORT DATE FO~A~ON (1S~ . ROUGH ~G & PL~G STA~ E~R~ CODE 'TOWN OF SOUTHOLD BUILDING DEPARTMENT ~, TOWN HALL SOUTHOLD, NY 11971 - TEL: (631) 765-1802 FAX: (631) 765-9502 SoatholdTown. NorthFork.net PERMIT NO..~ ~) ~'~ '~ / ' Disapproved a/ BLDG. DEPT 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 Trustees Flood Peri. it Storm-Water Assessment Form Contact: Mai to: ~.'T'~, bO ~ rd5 Bqilding Inspector APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS ,20 O~ ]'OWN OF $0UTH0ID a. this application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets ofplaes, 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 sheets or areas, and waterways. c. The work covered by this appiicatinn 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 inspec~inn throughout the work. e. No building shall be occupied or used in whole of in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. £ 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 perant for an addition six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance ora 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 descn~eed. The applicant agrees to comply with all applk~able laws, ordinances, building code, housing code, and regulations, and to admit / (Signatureofapplieant~o~name, ifacorporation) (Mailing address of appiicant)~z , State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of promises ~ff_/htr/ ~SS/~,/ (As on the tax roll or latest deed) If applicant is a corporati.qlB, signature of duly authorized officer .TS,r.- i%,,u-.~ . /',,'?e~. (Name and iitl~ of corporate officer) Builders License No. /7/. Plumbers License No. Electricians License No. Other Tmde's License No. 1. Location of land on which prop~osed work will be done: House Number Street Hamlet County Tax Map No. 1000 Section ¢~it Block c~ Lot Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and @acupancy. of proposed construction: a. Existinguseandoccupancy .~l,'~4/t~ /~/ar~/./~/ 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost '~ .3~3~ ~ Oc.3 Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units ~ Number of dwelling units on each floor '------- If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing st~m~, if any: Front ,.-~tear Depth Height - ~ Number of Stodes .,.-"' r~'~ Dimensions of same structure with alterations or additions: Front Rear Depth Height.~ Number of Stories 8. Dimensions of entire new construction: Front Rear Depth Height. Number of Stories 9. Size of lot: Front .Rear Depth l 0. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated /'4~' 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO 13, Will lot be m-graded? YES NO ~ Will excess fill be removed from premises? YES NO 14. NamesofOwnerofpremises ~tq~At-t ~'55t',~d Address -~o100 ~'(e,.-, /~x'e' Phone No. Name of Architect .5 (~ /~4 t¢ ~5 c el- _ Address /.L t~,a ?-.$ Phone No NameofContractor .T, ~,,,oo~ ~t~:.,~t'~O{ Address /~,/,)oc~¢c/g. PhoneNo, 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. ls 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 NO ~ · IF YES, PROVIDE A COPY. STATE OF NEW YORK) co TV 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 anthorized to perform or have performed the said work and to make and file this application; that all statements contained in this application am 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 therewith. Town 1 tall Annex 54375 Main Road P.O. Box 117!1 Southold, NY l l!~71-095!t Telephone (631 ) 765-18()'2 Fax (631) 7654)502 BUIL1)IN(; 1)EPARTMENT TOWN OF SOUTHOLD September 1, 2010 Brian Pessin 310 E 75th St, #2A New York, NY 10021 RE: 3200 Soundview Avenue, Mattituck TO WHOM IT MAY CONCERN: The following items are needed to complete your Certificate of Occupancy: ~'~ Application of Certificate of Occupancy. (Enclosed) '~ Electrical Underwriters Certificate.]~?~/_...~" ~---)-J~ ~-~ A fee of $25.00. .~_~ Final Health Department approval. Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84) __ Trustees Certificate of Compliance. (Town Trustees #765-1892) __ Final Planning Board approval. __ Final Fire Inspection from Fire Marshal. __ Final Inspection from the Building Dept. __ Final Landmark Preservation approval. Building Permit: 35056-Z basement alteration TOWN OF SOUTHOLD PROPER'I'?R~"CORD CARD our)cl TYPE OF BLD. PROP. CLASS LAND IMP. TOTAL DATE 3~0(9 cF'lDO Ill OK) I c/.. 2 DO VILLAGE REMARKS FRONTAGE ON WATER FRONTAGE ON ROAD DEPTH BULKHEAD TILLABLE WOODLAND MEADOWLAND HOUSE/LOT TOTAL SUB. LOT m mine," _____m,' ,., ,m ~m~ ,J -L )) m {.-mm{{ m ~ mmmm COLur~ TRIM 1st 2nd PC M Bldg. Foundation CB Fin. B. Bath Dinette FULL COMBO Extension Basement CRAWL FAR'rIAL Floors Kit. SLAB Extension Ext. Walls Interior Finish L.R Extension Fire Place Heat D.R. Patio Woodstove BR. Porch Dormer Baths Deck Dock Fam. Rm. A.C. Garage QB Pool ~1~1 Nmi]nlm m~lll!lllllllllll!lllll Illllllllllllllllll IllllllllIl Ill l Ill IIlll IIllllllllllllll Ill Il Illlll[llllllllll Il Illlm I0o0- ~,~ OWNER ~ORME,R OWNER ,'~l.:~t,~ R~. ~[~ J s~s. IMP. , $ W TYPE OF ~UILDING COMM. CB. MICS. Mkt Value VL FARM, TOTAL DATE RE/Vb~RKS 2.00 Oorl¢ ¢~ ~m Tillable woodland Meadowland House Plot Total 1400 FRONTAGE ON WATER FRONTAGE ON ROAD DEPTH BULKHEAD 94.-2-5 10/07 Bldg. t~¢15~-' ~z~ lA"/--/'? .. {~,,~.: OarageJ~o~ Foundation Basement Ext. Walls Fire Place 5-~0 Poo~ Patio I ~' Driveway Bath Floors Interior. F in ish Heat Attic Rooms 1st Floor Rooms 2nd Floor =M. Bldg. Extension Extension 94.-2-5 10/07 Foundation i~, Bath Basement F~,IJ Floors Ext. Wails ~4~& Interio[ Finish Fire Place Heat Po~ch . ~ ~ BIdg. Extension 94.-2-5 4/07 Foundation Basement Bath Floors /~'$ · , Extension Foundation I~.~ Bath Basement ~ulJ Floors Ext. Walls ~=~ Interior Finish Fire Place Heat Compliance Certificate Project Title: Joe Burns Contracting Ene~g'/C~de: 200? New YoU( Energy Conservation Constr~ctlon Code Loca~n: Suffolk County, New Yo~k Cons~uctmn Type: De[ached I or 2 Family Heating Type: Nol~Electrlc Gaazing Ama Pementage: 2% Healfng D~gree Days: 5?50 Construction Site: Owner/Agent: 3200 Sounc~ew Avenue Mattituck, NY 11952 Designer/Conlracto~: .Joe Bums ,lee B~ns ~on~acting 8 Corbett C:L Easl Quogue, NY 11942 631-653-6234 Compliance: Maximum UA: 319 Your UA: 288 1277 0.0 190 56 27 0.558 ~5 21 0.460 10 21 0.460 10 790 0.0 30.0 :24 88 0.0 30.0 3 Insulation depth: Warl 1: Steel Frame, 16" o~c. Window 1: Wood Frame:Double Pane Door 1: Solid Ceilirlg 1: Flat Ceiling or Scissor Tress Ceiling 2: Flat Ceiling or Scissor Truss The prc~oeed building represented k~ this document is cons~tent with ~e bu ding~/, spectficalio~s, and other cak:ulations submitted with ~his permit application. The propelled systems have been designecl to meet the 200.7 New York Energy Consawation Construction Code requirem~ts. When a R?gisla~ed Design Professiona, t has s~mped ard~gned ~s page, they are atlesfing th~3t a3 Ihe best of his/her knm~,edge, belief, and professional judgment, such pla~s or specifications are in co ',mpllanoe with ~s Code. '-:~'z=. ~-' ~-':~ ' ' ' ' - t- .· Projecl TrJe: Joe B~ns Conb'acting Data filename: Unfltied.rck Report date: 09/25109 Page 1 ot 1 L'd ffC~9~':S9k~9 suJn8 eot' e~L:OL 60 90 PO 16'-9" RAISED CEILING HEIGHT: 8' %'~-'METAL STUD WALL w/R19 INSULATION FINISHED AREA DROPPED CEILING HEIGHT:7' SHELVING MASONRY CHIMNEY FOOTING DUCT WORK / AIR HANDLERS N~--METAL STUD WALL w/%" FIRE RATED GYP BOARD UNFINISHED AREA (EXISTING MECHANICALS) ELECTRIC FIRE ~/ RATED DDOR--~ T GARAGE' WATER , , i i TRE~,TMENTII ? r' 5'-10' 15' FOR PO! 'q:, 2. ROUGH LI ,,~dlNG ALi COt,]STRL UOH SRALL MEET THE REQUIRLME:a 30E THE CODES OF NEW YO]~K STATE. NOT RESPONSIBLE FOR ROOF, ~VENTS WC 3" LAV CONNECT TO EXISTING 1-}~" <--WASTE L~NE ~ NEW ~ EJECTOR ~ PUMP PLUMBING DIAGRAM NO SCALE EXISTING JOISTS AND STUDS EMERGENCY EGRESS -- 3046 p 3, ALL CONSTRUCTION SHALL MEET THE REQUIR r:[.i :~ '~, S OF THE SECTION -A SCALE: ~2" = 1' OCCUPANCY OR USE iS UNLAWFUL PLUMBING ALL PLUMBING WASTE &WATER LINES NEEB TESTING BEFORE COVLF~ING DRAWN BY RB DATE 092509 SCALE AS NOTED SHEET PLUMPFR CERTIFIOA T¢©N C~RTIFICATE QF QCCLIFANCY SOLDER USED IN WA TER SUPPLY SYS',',TEM CANNOT EX OEED 2/'I00F I% LEAD OF 1 SHEETS