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HomeMy WebLinkAbout34099-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34785 Date: 01/10/11 THIS c~KTIFIES that the building ALTERATION Location of Property: 1400 STILLWATER AVE (HOUSE NO.) County Tax Map No. 473889 Section 103 Subdivision CUTCHOGUE (STREET) (HAMLET) Block 7 Lot 9 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 31, 2008 pursuant to which Building Permit No. 34099-Z dated AUGUST 11, 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 ALTERATION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to MARY E TRENTALANGE & ANO. (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A RLRt-rKICAL C~K'rIFICATE NO. 4016763 11/10/08 PL~Ei~S CERTIFICATION DA'£~43 N/A ~zed Signature Rev. 1/81 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. 34099 Z Date AUGUST 11, 2008 Permission is hereby granted to: MARY E TRENTALANGE CUTCHOGUE,NY 11935 for : ALTERATION TO SINGLE FAMILY DWELLING, CONVERSION OF EXISTING LAUND RY ROOM AND PORCH TO STUDIO AS APPLIED FOR. at premises located at 1400 STILLWATER AVE CUTCHOGUE County Tax Map No. 473889 Section 103 Block 0007 Lot No. 009 pursuant to application dated JULY 31, 2008 and approved by the Building Inspector to expire on FEBRUARY 11, 2010. Fee $ 200.00 ~--'0r i !~ ~d~ S ignat ure ORIGINAL Rev. 5/8/02 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 Departn 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 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 residences 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. Bo 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: Old or Pre-existing Building: ~Q (check one) Location of Property: ]cll~ ~/"l//6t)P~,'~ ~{.-~ / House No. Street OwnerorOwnersofProperty: ~[fl~7 p,.,7. Suffolk County Tax Map No 1000, Section / ~ .3 Block t~ '-7 Hamlet Lot g9 q Subdivision Permit No. 3 ~/) ~q' Health Dept. Approval: Date of Permit. Filed Map. Lot: e-/t-tg,P Applicant: 7'-/'/~O//t'4/5' Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ ~t~o~"-, 0-3, c:"-/q 0 Final Certificate: (check one) pplica~'t Sigl(ff~t/dre 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 TOM GRIFFITHS 1400 STILLWATER AVE CUTHOGUE, NY 11935 TOM GRIFFITHS 1400 STILLWATER AVE CUTCHOGUE, NY 11935 Located at 1400 STILLWATER AVE CUTCHOGUE, NY 11935 Application Number; 4016763 Section: Block: Lot: Certificate Number: 4016763 Building Permit: . 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 the ]otb Day of Nevem~r, 2008. Name OTY Rate Rating Circuits Tv~ AdditionaICharges enlarge laund~/room Panels I 80 3 Wiring And Devices Fixture I 0 Iooandescent Outlet I 0 Fixture Outlet 7 0 Gen, Purpose Paddle Fan 1 0 Receptacle 5 0 Gert, Purpose Switch 4 0 Gert, Purpose 1 of 1 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, TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION ~)~~~ [ ]FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: DATE ___~-~-'~" ~) ~ INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION ] FIRE RESISTANT CONSTRUCTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ] 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. [ ]FOUNDATION 2ND [ ] INSULATION FRAMING / STRAPPING ~"FINAL [ ] FIREPLACE & CHIMNEY [ I FIRE SAFETY INSPECTION [ ] RRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS:/~___~~ -~ ?~ ~ / · ~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING / STRAPPING [ ] FIREPLACE & CHIMNEY ( ] flR~RE.mT~rCONSTRUCTK)N [ REMARKS: [ ] ROUGH PLBG. [ ] INSULATION ~FINAL ~ [ ] FIRE SAfg, ~' INSPECTION ] RRE RESISTANT PENETRATION INSPECTOR~ DATE COiY[iVlENTS FoUNdATION (IST) FOUNDATION (2ND) , ~S~A~ION' ~ER N. Y STATE ENERGY CODE ~?- ~ ~ ~L i ~DITION~ COUNTS , b© i TOWN OF*SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net Examined Approved ,20.__ Disapproved a/c Expiration ,20 PERMIT NO. BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying'? Board of Health sets of Building Plans 4 Planning Board approval X/c) Survey Check Septic Form N.Y.S.D.E.C. Trustees Flood Permit J~20 Storm-Water Assessment Form Contact: Building Inspector iIAPPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS Mail to: ! bt ~ ~ S-]"7,}/l~a./.~Z ~ ?-30- 0c ,20;P ! a~ This application MUS'l~'~-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, relationsh/p 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 reg~ations, and to admit authorized inspectors on premises and in building for necessary inspections./~ tca~ ~ . (Signature off'if a corporation) (Mailing address of~ppii~ant)! I} t/;F State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Nameofownerofpremises ~4~ / Lc, ~/'"~'~tT"/*{.~4£}q~2 (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 LicenseNo. ElectficiansLicenseNo. 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 Block _/)DO '7 Filed Map No. Lot 0{09 Lot State existing use and occupancy of premises and intended use an~ occuj~n, cy of proposed construction: a. Existing use and occupancy / b. Intended use and occupancy ~ ,o~O ~i-/x - / Nature of work (check which applicable): New Building Repair Removal Demolition Addition Alteration Other Work 4. Estimated Cost--~ 7/9 DO 5. If dwelling, number of dwelling units If garage, number of cars Fee (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 b ~C. q Rear Height. Number of Stories Dimensions of same structure with alterations or additions: Front ~c~, q Depth ~/, ¢ Height Number of Stories 8. Dimensions of entire new construction: Front Rear Height Number of Stories Depth ¢'/. ¢7L' Rear ~' ,/.4"" 9. Size of lot: Front 10. Date of Purchase / .Depth )~-11- [qq~ NameofFormerOwner ff ~,,q )~--~ ~Z) , A//4./ ~~ 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES __ NO 13. Will lot be re-graded? YES NO ~.~ Will excess fill be removed from premises? YES__ NO 14. Nines of Own~ of~remises ~S~ ~ Address N~e of Architect ~ ~/Cd~ Address /~ 7~. Nme of Con,actor Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES__ * 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 I~ * IF YES, D.E.C. PERMITS MAY BE REQUIRED. NO Z 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) CONNIE D. BUNCH N0t~y I~tic, State of New York S)S: NO. 01BU6185050 COUNTY OF ,~ ,1~]}~ 0galif~d in Su~lk Count'/ I '" Commission Expires April 14. 20 (~ame ~£ individual si~ning contract) above name& (S)He is the ~ lEA IT""' (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 ~1 ~ ~" day of Q~9-~. 20 ~9~ Notary Public Si~u;e~f~pplicant __:'l'°w:n __er __S°uth°ld Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM %~if~...,4P~R~O~P/~ERTY LOCATION: S.C.T.M.#: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A '"f ''~'Y'"'/ /~) .~ ~ ~ STORM-WATER, GRADING, DRAINAGE AND EROSION CONTROL PLAN District Section Block Lot CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. Item Number: (NOTE: A Check Mark (~) for each Question is Required for a Complete Application) Yes No 1 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.) ~' .~ 2 Does the Site Plan and/or Survey Show All Proposed Drainage Structures Indicating Size & Location? This Item shall include ail Proposed Grade Changes and Slopes Controlling Surface WaterFIow! 3 Will this Project Require any Land Filling, Grading or Excavation where there is a change to the Natural Existing Grade Involving more than 200 Cubic Yards of Material within any Parcel? 4 Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of F'~ Five Thousand (5,000) Square Feet of Ground Surface? L~J -- 5 Is there a Natural Water Course Running through the Site? ~l Is this Project within the Trustees jurisdiction or within One Hundred (100') feet of a Wetland or Beach? ~ -- 6 Will there be Site preparation on Existing Grade Slopes which Exceed Fifteen (15) feet of Vertical Rise to One Hundred (100') of Horizontal Distance? -- 7 Will Driveways, Parking Areas or other Impervious Surfaces be Sloped to Direct Storm-Water Run-Off [~l into and/or in the direction of a Town right-of-way? ~ -- 8 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? L~J -- (This item will NOT include the Installation of Driveway Aprons.) 9 Will this Project Require Site Preparation within the One Hundred (100) Year F oodpla n of any Watercourse? I I 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 Building Permit! EXEMPTION: Ye~s N~o Does this projec 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 STATE OF NEM,' YORK, r~ ._ tName of individual signing D~ument) ~ ~NNIE D BUNCH O~er, nd/( representabxe of tim Om~er o[Omers, md ~s duly authorized to perform or bare performed d~e s~dd work :md to make mM fi~e this al)l)]icafion; that MI statelnenB contained in O~is application are true to fl~e best of bis ~owledge and belief; and fl~at tim work will be performed in ~e mallQer set ford~ in the application filed beremth. Sworn to before me tiffs; .............. .............. ................... ~M - 06/07 /~oo- I,~ .~-?-? TOWN OF SOUTHOLD PROPERTY..,RECORD,_ CARD /,~ OWNER ISTREET / ~ ~,~ VILLAGE DIST, SUB. LOT FOYER OWNER N E l S W ~PE OF BUILDING RES: ~/¢ SEAS. VL.,IFARM COM~. CB. MICS. Mkt. Value I_AND IMP. TOTAL DATE REMARKS/~/.2,j,/Z Tillabl~ FRONTAGE ON WATER W~lond FRONTAGE ON ROAD House Plot BVLKH~ Total 103-7-9 02/02 M. Bldg. Extension Extension Extension Po h L*, Garage Total Foundation Basement Ext. Walls Fire Place Type R~f R~reation R~m Dormer Bath Floors Interior Finish Heot Rooms Ist Floor Rooms 2nd Floor Driveway /~inette tLR. DR. BR FIN. B $CTM# 1000- !~3- Property Address: BUILDING PERMIT EXAMINER CHECKLIST Architect/Engineer: ~ © Ch o,~ ~_ ~---~'~ \ ~ Subdivisioo: Building Permits (Open/Expired): BP -Z / C/0 Z- , Info: BP -Z / C/0 Z- , Info: BP -Z / C/0 Z- *Bate SaOmitted: 7/ ?06 7 *Date Reviewecl: Estimated Cost: 7o o 0 Zone: ~ Conforming? BP -Z / C/0 Z- , Info: , Info: BP -Z / C/0 Z- , hlfo: ~--- Single & Separate Search Required? Y o~.N,/f3 Determination: _0 ~ct~ ~~'~,~,JCt% ~ CIS) ~ ~ ~ ~ ~ ~Q. Lot Size: ~0 0 ~ 0 ACT. Lot Size: d I ~ [ ~Q. Lot Cov. ~ ACT. ~t Coy. ~Q. Fro~ ACT. Front ~Q Side - ACT. Side REQ. Rear PROP. Rear ~Q. Height ACT. He~t ProjectDescription:~~;~ ~ ~~ ~% ~~/ rb~ ~ [I,5/. ' 7 Waterh'ont? Y ([~ ffyes, water bodyT Panel~ Flood Zone: Bulkhead/Bluff Distance: ADDITIONAL APPROVALS REQUIRED Suffolk County Health: Y o(N) lf)'es, *Bed#: *Date: / / *Permit#: ~ - If no, certilicafion required: Y or N Received: Y or N By: Town Septic: Y or } NYSDEC:~Yor(~I)aIe: / / l'ermit#: Southold Trustees: 5 oi .~ Date: / / Perlnit #: Southold ZBA: Y or 9Date: / / I'erluit ti: or NJ Letter- Notes: o~ NJ Loller- Notes: - Notes: Southold Planning: Y or0 Date: / / I'ermit #: - Notes: Town Landmark C of A: Y m~)DTE: ___/ ..... / *NYS CODE Compliance (pa~le~: Y or N Fee Structure: Calculation: Foundation: SF 1 ( SI"') ( ...... SF)= SF X $ =$ First Floor: SF ~ Initial Fee: $ Second Floor: SF + Additional Fee ( __): $ Other: SF 2. ( SF)- ( SF)= SF X $ Total: SF + Initial Fee: $ + Additional Fee ( ): $ TOTAL: $ NEW YORK STATE CODE COMPLIANCE CHECIZd~IST CLIMATIC/GEOGRAPHIC DESIGN CRITERIA: Ground Snow Load: 45 Weathering: Severe Design Temp: 11 __ Frost Depth: 36" __ Ice Shield Underlay: YES USE/OCCUPANCY CLASSIFICATION: HEIGHT/FIRE AREA: TYPE OF CONSTRUCTION: DESIGN CRITERIA: ENGINEERED/PRESCIL[PT1VE FULL FRAMING DESIGN ELEMENTS: Y/N HEADERS: Y/N WALL STUDS: YfN CEILING JOISTS: Y/N FLOOR JOISTS: Y/IN LUMBER SPECIES AND GRADE: YfN DESIGN LOAD CALCULATIONS: Y/N LiX, rl~: YflN DEAD: 'V/N SNOW: Y/N SEISMIC: Y/N WI1xrDOW ANT) DOOR SCHEDULE: MISSLE TEST REQ UIREMI~;NTS: Y/N EGRESS 5.7 S,F.: Y/N LIGHT 8%: Y/N \rENT 4~o: Y/N NAiLING/CONSTRUCTION SCHEDULE: Y/N MEANS OF EGRESS: Y/N PLUMBING KISEI~ DIAGR,~: Y/N LOC, ATION OF '~IILE pROrFECTION EQUII~MENT: TI~iJSS DESIGN Y/N CERTIFICATION: Y/N ENERGY CALCS: Y/N TOTAL COMPLIENCE? Y/N (P, ETURN TO PAGI~; ONE) Wind Speed: 120MPH__ Seismic Design Category/ Termite: M-H ~ Decay: S-M Flood Hazards: GLILDER$: ROOF IL&FTERS: x, VIND: Y/N Tol~nHall Anne× 51375 Main Road 1'.(). Box II 79 ,";oulhold, Nh' 11971-11959 Tclcl>honc (631 ) 765-1802 I:ax (fi31) 765-9502 IH !II,I)[N(; I)I'2PARTMENT TOWN OF $OUTHOLD September 21,2010 Mary Trentalange 1400 Stillwater Avenue Cutchogue, New York 11935 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. 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: 34099-Z alterations AVENUE WArE AR£A : ~1~ 9Gl ~ 0. ~3 ACR£S STY. FR. HSE. '~ Dt~ U M 17~ O0 ' NXF STEPNOSKI IV. 4IO39'~0'*~, 10T MAP OF DE,?CRIBED PROPEBTY AT CUT~HOGUE TOWN OF SOUTHO(_D SUFFOlk' CERTIFIED TO ~ FIRST AMERICAN TITLE INS. ~0. 0~' I~.Y. ~1~1 ' $* 6355 MARY E. TP~NTA~ANC~ donack associates. :513 west main street riverhead, new york 11901 (516)369-1,717 (212) 746-3020 Oct. 4, 198~ Job No. 83-342 1'30,3-103-07-09 ,~_ Scale: I" = 40' UNLAWFUL WIFHOUTCERTIFICATE ~0~ P~,¢1 O~OCCUPANCY