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Home My WebLink About35851-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPA/~CY No: Z-34788 Date: 01/10/11 THIS C~KTIFIES that the building COVERED FRONT ENTRY Location of Property: 3200 REEVE RD (HOUSE NO.) (STREET) County Tax ~p No. 473889 Section 100 Block 1 subdivision Filed Map No. __ Lot No. __ MATTITUCK Lot 4 (HAMLET) conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 25, 2010 pursuant to which Building Permit NO. 35851-Z dated SEPTEMBER 10, 2010 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 COVERED FRONT ENTRY ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. ·"ne certificate is issued to JAMES F & MARY M CASEY ( OWNER ) of the aforesaid building. S~FFOLKC~)I~TYDEP~R~qT OF }~LTHAP~O~rAL ELB~-rKICAL CERTIFIC3~TH NO. PL~ C~RTIFIC~%TION DAYKJ3 Rev. 1/81 N/~ 35851 12/13/10 N/A .Au~ho~ature FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT To~rn Hall Southold, N.Y. (THIS BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 35851 Z Date SEPTEMBER 10, 2010 Permission is hereby granted to: JAMES & MARY CASEY 3200 REEVE RD MATTITUCK,NY 11952 for : CONSTRUCTION OF A COVERED FRONT ENTRY AS APPLIED FOR at premises located at 3200 REEVE RD County Tax Map No. 473889 Section 100 pursuant to application dated AUGUST Building Inspector to expire on MARCH MATTITUCK Block 0001 Lot No. 004 25, 2010 and approved by the 10, 2012. Fee $ 200.00 Authorized Signature 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 Department with the following: A. For new building or new use: 1. Final survey ~f pr~perty with a~curate ~~cati~n ~f a~~ bui~dings~ p`r~perty ~ines~ streets~ and unusua~ natura~ ~r 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 amhitect or engineer responsible for the building. 6..Submit Pl.a~ing 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 0f pr0perty 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 $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00, Swinuning pool $50.00, Accessory building $50.00, Additions to accessory building $50.00, 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 Old or Pre-existing Building: "~ (check one) House No. Street Hamlet New Construction: Location of ProPerty: Owner or Owners Of Property: · Suffolk County Tax Map No 1000, Section Subdivision Block 0/[ Lot Filed Map. Lot: Applicant: ( ~d-r.J~.,,, ~? . ~"Or-Z. PermitNo.:¢ 35~3'~'/ DateofPermit. ~//O/Z~t0 Health Dept. Approval: 'Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ Underwriters Approval: Final Certificate: (check one) Applicant Sig Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 Telephone (631) 765-1802 Fax (63 I) 765-9502 roger, richert~,town.southold.ny, us BUILDING DEPARTMENT TOWN OF SOUTI-IOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION ssued To: James Casey Address: 3200 Reeve Rd City: Mattituck St: NY Zip: 11952 3uilding Permit#: 35851 Section: Block: Lot: WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: License No: SITE DETAILS Office Use Only Commedcal Outdoor 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Servicelph U Heat ~ DuplecRecpt ~ CeilingFixtures ~ HIDFixtures ~ Service 3 ph Hot Water GFCI Recpt Wall Fixtures J~ Smoke Detectors Main Panel NC Condenser Single Recpt Recessed Fixtures J~ CO Oetectors Sub Panel NC Blower Range Recpt Fluorescent Fixture J~ Pumps Transformer Appliances Dryer Recpt Emergency Fixtures~ Time Clocks Disconnect Switches Twist Lock Exit Fixtures ~ TVSS Other Equipment: porch light Notes: Inspector Signature: Date: Dec 13 2010 81-Cert Electrical Compliance Form TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 iNSPECTION [/~j/FOUNDATION 1ST [ ] ROUGH PLBG. ] FO~JNDATION 2ND [ ] INSULATION FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIHNEY [ ] FIRE SAFETY INSPECTION ( ] mEREmTAHTCOHSTRm ( ) mEREmTJHTmETRA~O. REMARKS: ~/~ ~~ DATE TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION ¶ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSU~LATION []FRAMING/STRAPPING [~'~AL~ ~/~ ~ [ ] FIREPLACE & CHIMNEY [ ] FIRE SAr,-, ~ INSPECTION [ ] FIRE RESIST41fl'CONSTRUC'II0N[ ] FIRE RESISTANT PENETRATION REMAR DATE TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 14971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net Examined 7//~ , 20 [ o Approved ¢ o, 20 / o Disapproved a/c Expiration 3//r_.), 20 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 C°ntact:Mailto: ~t//~. ~.tS//~ ..M~7~ AUG 2 ~ 2010 · .BLDG. DEPT. a. This aI:FCe.~e~UM~T be corn Phone: Building Inspector PL1CATION FOR BUILDING PERMIT ate INSTRUCTIONS [ t ,20 letely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of )lans, accurate plot plan to scale, l-~e 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 o~'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, ih 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 ~ PutPhl i o; ~zr ~ ignr~¢;~ tOo~so omnp lpYr e~n}til~e~l la ~l~lni Cbaubll~t I an~: ?o rO ~deicneas~¢.~, ibnt~ eCic tnigo nC sO)e~~,jy at ions, and to admit (Signature of/~j/licant or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lesse engineer, general contractor, electrician, plumber or builder Name of owner of premises {' ' (As on the tax ro~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 will be done: House Number Street County Tax Map No. 1000 Section Subdivision Block ~ / Filed Map No. Lot O 4- Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ,5'/A,)~(..~'~_ ]---/4rt///C y ,r~._,~ f" ~ b. Intended use and occupancy ~',,a~4 '~ (check which applicable): New Building_ Addition ~ Alteration 3. Nature of work Repair Removal Demolition Other Work ¸, Estimated Cost Fee If dwelling, number of dwelling units If garage, number of cars (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. Dimensions of existing structures, if any: Front Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth. Height. Number of Stories 8. Dimensions of entire new construction: Front Height Number of Stories 9. Size of lot: Front ~C~ Rear Rear _Depth _Depth 10. Date of Purchase Name of Former Owner I 1. Zone or use district in which premises are situated ~ ~ 12. Does proposed construction violate any zoning law, ordinance or regulation? YES__ NOx 13. Will lot be re-graded? YES__ NO~'~ Will excess fill be removed from premises? YES__ NO 14. Names of Owner of premises C~qS~o] Address Phone No. Name of Architect ~'F_,/,~ ~,,/~ tt 'F ./~'~- Address Phone No Name of Contractor Address Phone No. 15 a. Is this property within 100 feet cfa tidal wetland or a freshwater wetland? *YES *IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAYB~ REQUIRED. b. Is this property within 300 feet cfa tidal wetland? * YES NOo * IF YES, D.E.C. PERMITS MAY BE REQUIRED. NO ~ 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. rf elevatioh 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) COUNTY 0~~ ,~,~/1~/~ ,~C/7/~.,.-,~,ff_,-/r ~ beingdtilyswom, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, CONNIE D. BUNCH //~ /,/'4 Notary Public.State of New Yo~ (S)He is the 6 ~ ~ ~'~'~t../'f"' .... ~9:~0~B~61.85.0~50 (Contractor, ~gk/nt; Co[por~te Of~cer, etc.) ' ¢ornm~i~id;~;'ir'~u.q'kg'~il'-'~"~0 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 tobefore me this ~ ~ '5"nC~X day of .~..t~ 20 ~ ~) Notary Public Town Hall Annex 54375 ~ Road P.O. Box 1179 Southold, NY 11971-0959 Telephone (631) 765-1802 · (631) 76~ 50 ro,qer, nchert('~,,{~wn .soul~ol~d. ny. us BUILDING DEPARTMENT TOWN O~' $OUTI-IOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Company Name: Name: License No.: Address: Phone No.: JOBSITE INFORMATION: (*Indicates required information) *Name: *Address: *Cress Street: *Phone No.: Tax Map District: 1000 Section: Block: Lot: Permit No.: (Please Circle All That Apply) *Is job ready" for inspection: *Do you need a Temp Certificate: *BRIEF DESCRIPTION OF WORK (Please Pdnt Cleady) ~' \-~ .. YES / NO Temp Information (If needed] *Service Size: 1 Phase *New Service: Re-connect Additional Information: 3Phase 100 150 200 300 350 400 Other Underground Number of Meters Change of Service Overhead PAYMENT DUE WITH APPLICATION 82-Request for Inspection Form OWNER 's. 2/o TOWN FORA4EP~WNER SEAS. VL LAND AGE NEW FARM rillable OF SOUTHOLD PROPERTY RECORD CARD STREE'I' N S WU. AGE FARM COMA(. CB. DIST.i SUB. LOT A.CR 7?l TYPE OF BUILDING TOTAL REMARKS MICS. Mkt. Value AeadOWiand touse Plot ~/o o / 7/ o~ ./ BUILDING CONDITION DATE _F/.,..~ 7 BELOW ABOVE Value Per V~,lue Acre FRONTAGE ON WATER FRONTAGE ON ROAD DEPTH BULKHEAD '°ta~'~ ~ , DOCK COLOR TRiM E~tension ~-~-tenston '~ctension >o rch ~c~n~ ~ ~ 'orch ;arage 'ctal Bath Floors Interior Finish Heot ~' moms Ist Floor Rooms 2nd Floor Driveway JDinette ~ ...~._. BR. .~-- FIN. B Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM PROPERTY LOCATION: S.C.TM. #: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A ~ I~ STORM-WATER, GRADING, DRAINAGE AND EROSION CONTROL PLAN Block Lot ' CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. SCOPE OF WORK - PROPOSED CONSTRUC~ON ITEM # / WORK ~S~SMENT ] Yes No a. What is the Total Area of the Project Parcels? (Include Total Area of all Parcels located within H/?7~ 1 Will this Project Retain AIl Storm-Water Run~Off the Scope of Work for Proposed Construction) ~0~0i/'! Generated by a Two (2") Inch Rainfall on Site? r'~ (cF./.~cresl (This item will include all mn-off created by site b. What is the Total Area of Land Clearing clearing and/or construction activities as well as all V and/or Ground Disturbance for the proposed Site Improvements and the permanent creation of construction activity? ~' L) ~' ~"~: impervious surfaces.) 2 Does the Site Plan and/or Survey Show All Proposed PROVUE B~ PRO, CT D~CR~ON (r~e AddiUona~ Pagss as Needed) Drainage Structures Indicating Size & Location? This V''/ r'~ Item shall Include all Proposed Grade Changes and }~.J~/{4 00~ ~ .Z'I ,f'T~ ~/~ ! ~,~ .,r~_.~/,~l~ Slopes Controlling Surface Water Flow. I · 3 Does the Site Plan and/or Survey describe the erosion ., ~Z:2 ,~,/~/$a,~ ~/,~ ~r~t,/.r/~~ (7, K and sediment control practicas that will be used to control site erosion and storm water discharges. This ~,t~ / ,/f4fa~,,~,~,,~y ..(-t~'~./~ itemconstructionmUSt be Pealed.maintained throughout the Entire ~ ~'(.~"~,'~'t "~"~,'~7' "u'K'~ 4 Will this Project Requiro any Land Filling, Gradingor Excavation where there is a change to the Natural~[ [ ~ (~(,/J~' ~]'"*~>Z~/-,"~____-.- Existing Grade involving more than 200 Cubic Yards __-- of Material within any Parcol? 5 Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of Five Thousand[~} (5,000 S.F.) Square Feet of Ground Surface? 6 ts there a Natural Water Course Running through the ~ / Site? Is this Project within the Trustees jurisdiction General DEC SWPPP Requirements: or within One Hundred (100') feet of a Wetland or -- Submission of a SWPPP is ~quirsd loc all Constr~cben activities involving soil Beach? disturbances of one (1) or mom acres; including dislurbances of less than one acre that 7 Will there be Site preparation on Existing Grade Slopes r---1 are pan of a ~arger common plan that will ultimately disturb one or more acres of ~and; which Exceed Fifteen (15) feet of Verlical Rise to [ Including Construction activities i,vok, ing soil disturbances of less than one (1) acre where One Hundred (100') of Horfzontal Distanca'7 I~l the DEC has detemained that a SPDES permit is ~equired for storm water discharges. ' SWPPP's Shell meet the Minimum Requirements of the SPDES General Permit 8 Will Driveways, Parking Areas or other Impervious for Storm Water Discharges from Construction activity. Permit No. GP-O-t0-O01 .) Surfaces be Sloped to Direct Storm-Water Run-Off~ 1. The SWPPP shall be prepared prior to the submittal of the NOI. The NOI shall be into and/or in the direction of a Town fight-of-way? -- Notaqt pb~ii~,-gt~;~j~w ¥0r~ STATE OF NEW YORK, ~-,, C'~2 ,2uo No. OIBU6185050 COUN~ OF .....~......~...~..~ .......... SS Qualified n Suffolk C0unb Owner and/or representative of the Owner or Ova]ers, 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 true to the best of his lu~owledge and belief; and that the work will be performed in the manner set forth in the application filed herewith. Sworn to before me this; FORM - 06/10 Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 Telephone (631 ) 765-1802 Fax (631) 765-9502 BUILDING DEPARTMENT TOWN OF SOUTItOLD December 13, 2010 James & Mary Casey 3200 Reeve Road Mattituck, NY 11952 TO WHOM IT MAY CONCERN: The Following ,tems Are Needed To Complete Your Certificate of Occupan~- of Occupancy. (E/nclosed)--~V Application of Certificate %(~ Electrical Under~riter~~// 'N,J A fee of $50.00. IV 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: 35851-Z covered front entry Young Jc Young, Land Surveyors Ho'ward W. Yo'o. ng, Land S'o. rveyor K~ne~ F. lbmzzo, Land Su~or John Schn~, La~d S~eyo~ NOTE: ~ = MONUMENT FOUNO COUNTY ON AUG. 3, 1966 AS FILl NO. 4682. JAMES F. CASEY & MARY M. CASEY LOT NO. 8 "SALTAIRE ESTATES" At: MAT~TUCK Town of: SOUTHOLD su,,o,, cou,,,, Surf. Co. Tax Map: , ~ ~ ~ District S~ction Block Lot CERTIFIED TO: JAMES F. CASEY MARY U. CASEY FIRST AMERICAN TITLE INSURANCE COMPANY OF NEW YORK DATE :FEB. 13, 1998 JOB NO. :98 - 0053 ~ SHEET NO.:1 OF I F - FRONT ELEVATION OCCi::. ,, , .., USE i :~ : APPROVEDAS NO'ED ~ETAIN STOR~ WATER RUNOFF ~ PURSUANT TO OHAPTEB 2~:'J;' REVISIONS (2) 2X12 HEADER CROSS SECTION SCALE: 1/4" = 1'-0" STORM WATER MANAGEMENT DETAILS N.T.S. DRYWELLSTO BE 10' MIN. AWAY FROM HOUSE EXISTING FOUNDATION PLAN SCALE: 1/4"= 1'-0' EXISTING 1'- 7'-0" 13'-0" FLOOR PLAN SCALE: 1/4" = 1'-0' -.~ z>- LUZ ~Y,/IND LOAD PATH CONNECTION AND CONSTRUCTION DETAIL DRAWINGS