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HomeMy WebLinkAbout36262-ZTown of Southold Annex 54375 Main Road Southold, New York 11971 4/8/2011 CERTIFICATE OF OCCUPANCY No: 34891 Date: 4/8/2011 THIS CERTIFIES that the building Location of Property: SCTM #: 473889 Subdivision: ACCESSORY 290 Old Field Court, Mattituck, NY, Mattituck Sec/Block/Lot: 120.-3-8.27 Filed Map No. conforms substantially to the Application for Building Permit heretofore 1/1/1900 pursuant to which Building Permit No. 36262 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: Lot No. fried in this officed dated dated 3/23/2011 accessory storage shed, 12' x 24,' as applied for. The certificate is issued to Krukowski, William & Krukowski, Theres (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 36262 3/7/11 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit #: 36262 Date: 3/23/2011 Permission is hereby granted to: Krukowski, William & Theresa 290 Old Field Court Mattituck, NY 11952 To: 12'x 24', Accessory Storage Shed. At premises located at: 290 Old Field Court, Mattituck, NY SCTM # 473889 Sec/Block/Lot # 120.-3-8.27 Pursuant to application dated To expire on 9/21/2012. Fees: 1/1/1900 and approved by the Building Inspector. SiNGLE FAMILY DWELLING - ADDITION OR ALTERATION Total: CO -ACCESSORY BUILDiNG $50.00 $430.40 $480.40 T{Iwll 1 tall AIIIICX ,5 [37,5 Mai. Road P.O. Box 1179 SouthokL NY l 1!)71-0959 Telephone (631) 763-1 F:tx (631) 7ti,3-9502 ro.qer, dchert~town southold.n¥.us BI !IL1)IN(~ DI~]~ARTMI~NT TOg~,q'~l OF $OUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION ssued To: William Krullowski ~,ddress: 290 Old Field Ct City: Mattituck St: NY Zip: 11956 Building Permit #: "~, c~, ~,1/D/,=,~ ~ ~ Section: 120 Block: 3 Lot: 8.27 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Michael McCulloch Elec LicenseNo: 5214-me SITE DETAILS Office Use Only Residential ~ Indoor ~ Basement ~ Service Only Corn medcal Outdoor 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Servicelph ~ Heat ~ DuplecRecpt ~ CeilingFixtures ~ HIDFixtures~ Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel NC Blower Range Recpt Fluorescent Fixture II Pumps Transformer Appliances Dryer Recpt Emergency Fixtures~ I Time Clocks Disconnect Switches Twist Lock Exit Fixtures [~ TVSS Other Equipment: finnished basement and storage shed, 1 paddle fan, I exhaust fan Notes: Inspector Signature: Date: March 7 2011 81-Cert Electrical Compliance Form TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH pLBG. [ ] FOUNDATION 2ND [ ] I~S~ATION [ ] FRAMING / STRAPPING ['~FINAL~-'~/.~_ [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY IILSPECTION [ ]FIRERESISTAHTCONSTRUCTIOfl_[ ]RRERESISTANTPENETRATION REMARKS: ~ ~ / / / DATE ~ INSPECTOR TOWN OF SOUTH(} BUILDING DEPAR1 TOWN HALL SOUTHOLD, NY 11~ TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NortK MAR 1 4 2011 BLDG. DEPt TOWN O,F,S,OUTHOLO PJ~I~ll I !~U. 20__ Expiration ~ B~UII~ING PERMIT APPLICATION CHECKLIST · ~ ~,,~ o _ ~ ~ you have or need the following, before applying?  Board of Health~ ~._g ~ 4 sets of Building Plans_ ~ Planning Board appmvai ,~ ~ ~_~V.x~ Survey__ / _- . - I I ChecL ~-'~ Trustees Flood Permit Storm-Water Assessment Form Contact: Mail to: Phone: ~! Building Inspector APPLICATION FOR BUILDING PERMIT Oate ,2o u INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets bf 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 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 described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant or name, ifa corporation) (Mailing add,ss of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Nameofownerofpremises dz.//~_2,.~?,a'fd 7"T-4~F~,~/ ~:~62~O~(.y©l~ (Ars 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. 1. Location of land on which proposed, work will be done: House Number Street Hamlet County Tax Map No. 1000 Section J-'~O Block ~ Subdivision Filed Map No. Lot Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~/~'7~e'~C- b. Intended use and occupancy 3. Nature of work (check which applicable): New Building. Addition Repair Removal Demolition Other Work 4. Estimated Cost 5. If dwelling, number of dwelling units If garage, number of cars Fee 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. ~ ~ - F3~i o7"- ..~ t .Depth 7. Dimensions of existing, structures, if any: Front /~_ Rear /~ t Height /.~.. ~-' Number of St~)rie~- / Dimensions of same structure with alterations or additions: Front Depth. Height Number of Stories Rear 8. Dimensions of entire new construction: Front Rear Height Number of Stories 9. Size of lot: Front /"jr-d)' Rear /(.aZ~, ~Tq°' Depth Depth 10. Date ofPurehase .~' Name of Former Owner 11. Zone or use district in which premises are situated ~ - '~49 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO V/ 13. Will lot be re-graded? YES __ NO __Will excess fill be removed fi.om premises? YES__ NO 14. Names of Owner of rl2~.mises ~,/~¢'~gXO~:~'Address 2~O ~/~'~e'/d/ ~'~' Phone No.~/ Name of Amhitect 7.~, ~[tiF,/~Lt~[l{ Address/~t5 '~g~ ~rrp~' Phone No b3[ 4~- ~'~-~__.~- Name of Contractor Address ' ~ Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a fi'eshwater wetland? *YES NO * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BEJIEQUIRED. 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 NO V/ · IF YES, PROVIDE A COPY. STATE OF NEW YORK) ss: COUNTY OF ~--2~&t t/~ ~-/~[I~Lt d-t~l ( 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 true m the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Swom to before me this /"~ t~,/ day of /Tm No~ ~blic 20 ll ViCKI TOTH Notary PubJic, Stal~ of New Yor~ No 01T06190696 O[]aii[ie{~ i~, Saffolk County ~ature of Applicant ) Town of Southold Erosion, Sedimentation & Stoml-Water Run-off ASSESSMENT FORM SCOPE OF WORK - PROI~)$ED CONSTRUCTION fl'~l# / WORKASSF. SSMI~:NT' { Y= No a. WhellstheTotalAmaoflhePn~pamels? I W~th~sPmJectRe~inNl~-~omt4'l/aterRun..O~ b. What is the Total Ama of Land Clemtng (~F. I,~r.) (l~lS Item v,111 Include all rdn-off cmllted by ~i~e ck~ and/or ca~stru~lm a~iv~es as well as all cormm~on sctivib~ impe~lms (~r.t~) 2 Daes Ihe Site Plan and/or 8uwey Show NI P~ P~OVI~E ~ PRO]~C~ DJ~ON ~,.,,~,~P~,.~m~ Dmi~mge Stmctmes Inditing Size & Loca~ior~ 11ds (5.000 S.F.) ~ Fee~ of Ground ~? -- ~meeal aec SWPPP~: orwithin One Hundred (100') feeta~aWe'dand ~ If~md~mmsofone(l)~momaeme; ineludlngd~u~oenaesafleesthallatma=elhet 7 W~d161e~beS#ep~o~tE~OradeStopes ~ p~l of a leeg~ O~lmen p~'~ ~al vdll ull~ (ll~4Jfb orm or ffla~ a~r~ af rand; Which Exceed F~n {15) ~t of Vertic~J R~ to [ndu~ng ~mor~ a~ Inv~ing ~1 c~tmb~ of ~ ,6~ ~ (~) ~m wt~ ~ H~d (100') of ~1 ~? --. m~"em, s~n~a~ -- -- ~,-- a prama~ am ,,,~ ~e u~d mc~' Removal .Vegetallon and/ar ~e ~ of any r~// couNTy o~ _...~_~....£..c .~..... ss O~r and/or reip~s~amt~ of thc Ov~_r o~ ~ and ~s du]~ authorized to l~r t'om~ or maJ~ a~d file I~; ;~p]kafion; Ihat ail r.~t,~mts co--ed in t[~s appl;ca~o~a a-~ ~ ~ ~e best olios lmo~ledg~ ~ belier; and that lhe ~or~ w~ll 5e performed in I~e man~r ~ ford~ L~ I~e appl;cadon Fried h~'~id~. Sworn to before me tiffs; £, / ......... Z~..~: ........ ..-......d.~....~.~:~ ..... ~o .// ....... ........... ::::::.....2 . ............ .................................... ,.,~ ....... .Y!?.!.T_gTK.. FORM - 06/10 , VICKI TOT~ ~t~,y ruolic, ~tate ot New York No, 01TO61g0696 Ou~?ied n Suffo k C0u,ty , ~ C0rnn s~Jon Exo res JuN 78, 20./~ 13, P. ~ .~a 'd-~l Pt_ .~ ~ ~L(a~,L_- 3~/~ ~{ { Date Reviewed: BUILDING PE~IT E~INER CHEC~IST ~Date ~ubmitted: SCTM# 1000-- //~-- Property Address: Building Permits (open/Expired): BP -Z / C/0 Z-__ Info: BP. -Z/C/0 Z- ,Info: BP__-Z/C/0 Z- ~~ Estimated Cost: -- $~;27Subdivision: /'~~ Zone: ~:~o Conforming?~/&-~ 0~._ ?L--~ ~ City: /~~ BP -Z / C/0 Z- , Info: BP__-Z / C/O Z- Pre COs? , Info: , Info: . /]ingle & Separate Search Required? Y o~ Determination: RBQ. Lot Size: L~ ~,. ACT. Lot Size: ~7',~ REQ. Lot Coy. ACT: Lot Coy. REQ. Front ACT. Front REQ Side /5'~ ACT. Side 2-o B" REQ. Rear__ PROP. Rear REQ. Height ACT. Height t~ ~ ~ , ~ort~_ Stb~.5 ,q ~ T If yes, water body: f Panel// "--'-- Flood Zone: ~ Bulkhead/Bluff Distance: ~ ADDITIONAL APPROVALS REQUIRED Suffolk County Health:~or N- If yes, *Bed#: ~ *Date: ~/~/~?~*Permit#: ~} o- ~-O/~/VTown Septic: Y - If no, certification required: Y or N Received: Y or N By: NYS DEC: t'~-oeC 9/1175 Y or9 - Date: / / Permit #: or NJ Letter - Notes: Southold Trustees: Y or ~ - Date: / / Permit #: or NJ Letter - Notes: Southold ZBA: Y or9 - Date: / / Permit #: Southoid Planning: Y o~)- Date: / / Permit #: Town LandmarkrC of A: Y.?~TE. /~--~... - Notes: - Notes: *NYS CODE Compliance (page 2): Y or N Fee Structure: Foundation: 5'o~q- SF First Floor: ~ SF Second FI?~: ~ -- SF Other: ~ t7--~'~ Total: Calculation: SF SF xO. 3-o oo ) +InitiaIFee:$ ~-0o , OO + Additionol Fee ( ): $ SFXS, ~ =$~ +InitialFee:$ ] 00, oO + Additional Fee ( )~ $~, o O TOT~:$ }~%~,00 /~ ?o'-I~'-~o"~ I zk3,.o o' -" ' '; 'i-~- ; ' C CESSPOOLS LINc~, tSEP]I TANKS AND SH HEREON ARE~FIELD OBSERYA-FROM · CERTIFIED ONLY TO:, A~-u~A, dc~ ADST~,f.-1' o¢ /'46w Y'o~l¢. By DES~IN G. GRAF N,Y.S. LIC No. 50067 TAX I.D. NO. ~OOO-12.0-03-~.2.7 S~RVE¥OF: POi' Z~ DESTIN G. G~ ~ SUR~YOR m ~ AS-BUILTS .. ......... ~AS_iBUiLT ~ RESIDENCE · ~ .... x -~_~/~ FINISHED BASEMENT AR~ ~ .... ~ . WITH BATHROOM ~ MA~ITUCK, NY ~ 290 OLD FIELD CT. ~ / / ~8 / ~ k q J o ~ ARCHITECT :~s 0 ~ F~NK UELLENDAHL ~ . ~ ~ / ~ ~ ~ STO~ ~ ~ ~ ~EEN~RT, ~ 11944 ~DRIVEWAY ~ ~ TEL: 631-477 8624 / ~ OWNER ~ ~ W~LL~ KRUKO~K~ ~ 290 OLD FIELD COURT ~ITUCK,~ ~ILING & CONNECTIONS APPROVED AS NOTED REQUIRED. B-.:v3-~3-/[..p.: 3~I CON. · sgf__ ( ~/ ~ %~ ~K STATE & TOWN CODES R fl / ~ ~ ) ~ 7, ~a BY ~D A~ C~'~DI.TI,O~s OF- ~ / ~ , - ~ ~ BUILDING DEP~E~ AT ~OW ~ - RETAIN STORMWA~R RUNO~ ,:s:~c2 ~ AM TO 4 PM F~ ~E .,/ ~ S0 NUTHOLD~0 ~ 1/16' =1'-0' PURSUANT TO CHAPT~ 236 .... '.,%, iNSPECTIONS: S0~ ARDSaTE ~' .~S~ON-~REQUI~D SCTM~ = 1000-120-03-8.27 OF THE TOWN CODE.-, xPL'oRED CONCRE~ ~~RL)~ "FRAMING, PLU~. TOWN OF SOUTHOLD ~': ,~PING ELECTRICAL ~ CAULKING [~. 3NO ~ AS-BUILT STORAGE SHED ,~.~T,ON SUFFOLK COUNt, NEW YORK 4 '~ ~L- CONSTRUCTI~ & E~C~IC~~ OATg: 03/14/2011 rv~uSTBECOMPL~F~C.O. , , ~ SCAN: 1/32"= f-o' AS BUILT PERMIT APPLICATION W1TH BASEMENT REQUIREMENTS OF THE ~S ~ NEW YORK STA~ ~T ~ F~ SITE P~N DESIGN OR C~ ~. ~ EXISTING STRUCTURE MARCH 14, 2011 FRANK W. UELLENDAHL, ARCHITECT - P.O. BOX 516 - GREENPORT, NY 11944 ~ A-1 ~ DWC. NO = AS-BUILTS uP EXIT TO PATIO UTILITY ROOM UTILITY ROOM ~ RESIDENCE ' j ~ 290 OLD FIELD CT, ~ ARCHITECT ~ F~K UEE~N~HL P.O. BOX 316 ~ TEL: 631-477 8624 . ~ 290 O~ FIELD COURT ~ UNLXCAVA/LD ~ , CLOSET ROOM . ~_~s.x;Z ~ Z~ FTNESS AREA ~ ~' FLOOR: CARPET X , ;/ ~ 1~ Z~ FLOOR: CARPET ~ ~ ~ WALLS: GYPSUM BD. ~ ~ ,~ ~ ~_ WALLS: GYPSUM BD. $~ DATE: 03/08/2011 ?' ~ i BASEMENT P~N Y~m~-~ - BASEMENT P~N ~ A-2 ~ AS-BUILTS uP EXIT TO PATIO UTILITY ROOM UTILITY ROOM ~ RESIDENCE ~ MA~ITUCK, NY ~ ~ ~ 290 OLD FIELD CT. ~ ARCHITECT ~ ~K UELLENDAHL .............. ~ __ ~ P.O.~OX 316 ~ ~ ~ ~ ~ ~ ~ ~ E ~ TEL: 651-477 8624 ~ 290 OLD ~ELD COURT ] - ~ ~'ffUCK, ~ 11952 · L: 651-298-5693 BATHROOM -- UNEXCAVATED CLOSET ROOM , ,i 5~ sx ~ FITNESS AREA -- ~' ' - : m _/ ~ ~E: 1/4' = 1'-0" ,1'-0" ~ 2° 20,, ~ .¢. ~ AS-BUILT ' ' BASEMENT P~N _ BASEMENT A-2 ~ Bw6. ~o i#' I,~ ~ ~ AS-BUlLTS . RESIDENCE , ;, , ~ ' ~, MATTITUCK, NY I-_~' ~' 2§0 OLD BED CT. : x ~ .o ARCHITECT . ~ FRANK UEI LENDAHL q~ ~ P.O.BOX 3t6 __~ LIGHT FIXTURE , ~ ~REENPORT, NY 11944 I ~ TEl: 631-477 8624 ELg/^TION ~ I ~ OWNER J ~ IIILLIAt~ KRUKOWSKI I · I ~ITllUCK, NY 11952 RIDGE BEAM ~. /~ 1/2" PLYWOOD ,,SHEATHING : ~-2X6 COLLAR TIES 8 52" O.C. ! ~ 2X6 COLLAR TIES Q) 32 O.C. J - ' _ STORAGE SHED ~ /--2X4 STUDS @ 16" O.C. = 1 ~- ,'4" / 1/2" PLYWOOD SHEATHING I '__ ' VINYL SIDING ] · I /w/ 1/2" ANCHOR BOLT ~ 4'-0" O.C. . I=0" FROM CORNERS I ~ ~ '~: '~ DA~: 0~/14/2011 DARN DOOR~FLOOD LGHTS _ 1'7S" . 4'-0" ~ 6::~L t AS-BUILT SHED (~ FLOOR P~N ~ ~2'-o" ~ ' ~ -~ SECTION SECTION W~ t -~; , FLOOR P~N 2s8 SF