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HomeMy WebLinkAbout36165-ZTown of Southold Annex 54375 Main Road Southold, New York 11971 6/22/2011 CERTIFICATE OF OCCUPANCY No: 35013 Date: 6/22/2011 THIS CERTIFIES that the building AS BUILT ALTERATION 3170 WICKHAM AVE MATTITUCK, Location of Property: SCTM #: 473889 Subdivision: Sec/Block/Lot: 107.-9-26.6 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 1/20/2011 pursuant to which Building Permit No. 36165 dated 2/3/2011 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: "as built" alterations on second floor for living space in an existing one family dwelling as applied for. The certificate is issued to Fullam, Cecilia (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 3/8/11 36165 5/13/11 f~ Buffs Reliable Inc FOPaM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUIIJ)ING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL COMPLETION OF THE WORK AUTHORIZED) FULL PERMIT NO. 36165 Z Date FEBRUARY 3, 2011 Permission is hereby granted to: CECELIA FULLAM 3170 WICKFUtMAVE MATTITUCK, NY for : "AS BUILT" ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING at premises located at County Tax Map No. 473889 Section 107 pursuant to application dated JANUARY Building Inspector to expire on AUGUST 3170 WICKHAM AVE MATTITUCK Block 0009 Lot No. 026.006 20, 2011 and approved by the 3, 2012. Fee $ 760.00 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 tilled in by typewriter or ink and submitted to the Buildiug 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 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: I. 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 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, Swimming pool $50.00, Accessory building $50.00, Additions to accessory building $50.00, Businesses $50.00. 2. Certificate of Occupancy ou Pre-existing Buildiug - $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: Old or Pre-existing Building: (check one) LocationofPropert~y. /~'~){~_~. i~e.h/tT~ llouse No. ff Street OwnerorOwnersofPropc~ ~t~ ~ Hamlet Suflblk County Tax Map No 1000, Section Subdivision Pen,fit No. ,'7~)tt9 ]~.'~ Health Dept. Approval: Date of Permit. Block Filed Map. Applicant: Planning Board Approvah Request tbr: Temporary Certificate I'eeS.h,ni.ed: DO Underwriters Approval: Lot Lot: Final Certificate: (check one) Appli~aut Signature Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-(7)59 Telephone (631 ) 76% 1802 Fax (631 ) 765-9502 ro,qer, richort~town southo al.ny.us BUILDING DEPARTMENT TOWN OF' SOUTHOLD CERTIFICATE OF ELECTRIClAL COMPLIANCE SITE LOCATION Issued To: Cecelia T Fullam Address: 1350 Grand Ave City: Mattituck St: NY Zip: 11952 Building Permit #: 36165 Section: Block: Lot: WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: as built DBA: License No: SITE DETAILS Office Use Only Residential ~ Indoor ~ Basement ~ Service Only ~ Corn merical Outdoor 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Servicelph ~ Heat ~ DuplecRecpt ~ Ser,zice 3 ph Hot Water GFCl Recpt Main Panel NC Condenser Single Recpt Sub Panel NC Blower Range Recpt Transformer Appliances Dryer Recpt Disconnect Switches Twist Lock Other Equipment: inspected alterations to 2nd floor, breezway, and garage Ceiling Fixtures [~ HID Fixtures [] Wall Fixtures ~.~ Smoke Detectors Recessed Fixtures ~ CO Detectors Fluorescent Fixture ~ Pumps Emergency Fixtures[~ Time Clocks Exit Fixtures [~ TVSS Notes: 1-exhaust fan Inspector Signature: Date: May 13 2011 81-Cert Electrical Compliance Form fo¢¢q HaLl, 53095 Main Road P O. 8o× I179 Southold, NewYork 1~971 Fax(516) 765~E23 Telephone (516) 76r~ OFFICE OF THE BUILDING INSPECTOR TOWN OFSOUTHOLD cERTIFICATION Building Permit No. 3~j (~ Owner: (~ ¢_, ~ ~ [', ~,2 JJ £4 .',~ (please print) Plumber: ~¢'~'~ '-'¢,~'~,'¢,b~ I~" (please print) I certify that the solder used in the Water supply system .contains less than 2/10 of 1% lead. ~ ~ ' (plumbers siggature) '*.2 Sworn to before me this '~"~ dayof ~r~AF'O,~'L 20~ Notary Public, ,,~ ~ ~ i'o~ V~.. County BERNADETTE L. TAPLIN HOTARY PUBLIC ff4844593 Stat~ of New York 8O2 .~ ? i N SP~EC'I~O N [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [. ]~I~I~.ATION [ ] FRAMING / STRAPPING [I'~ FINAL [[ ]] FIRE RESIST ~A~II' ~UCTIoNFIREPLACE.~& CHIMNEY~ [[]] FIRiFIREREsISTANTSAFETY INSI~CTIONFF. NETRA. rlON REMARKS.-,,~?, ~,,~-~J-~ c~L TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING / STRAPPING [ ] FINAL FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION RRB RESISTANT CONSTRUCTION [, ] RRE RESISTANT FENETRATION ELECTRICAL (ROUGH) ~ ELECTRICAL (FINAL) REMARKS: DATE INSPECTOR~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING / STRAPPING [~]'~AL FIREPLACE & CHIMNEY [ ] FIRE SAFETY IILSI~CTION FIRE RESA'T~'r com'rnuctlOfl [ ] FIRB RESISTANT PENETRATIOfl REMAR~ DATE INSPECTOR PROFESSIONAL ENGINEER 1725 HOBART ROAD / PO Box 616 SOUTHOLD, NEW YORK 11971 TEL: 631.765.2954 · FAX: 631,614.3516 · e-mail: joseph~fischetti.com Southold Building Dept Main Road Southold, NY 11917 Date: Reference: Apd119, 2011 1350 Grand Ave Dear Sir, I certify to the best of my knowledge that the existing framing for the home at 1350 Grand Avenue, Mattituck was existing and meets New York State Building Codes. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SODTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown. NorthFork.net Examined i ~'-0_,20 Il Approved ~ ~ .3 ,20_ ([ Expiration ~ff'-'~'- .~ ,20 ] ~7~-._ JAN 0 ;01! BLDG. DEPT. TOWN OF SOUTHOtD PERMIT NO. '~ ~ // ~ BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying'? Board of Health 4 sets of Building Plans Plamfing Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees Flood Permit Storm-Water Assessment Form Contact: Mail to: Phone: Building Inspector ?PLICATION FOR BUILDING PERMIT Date INSTRUCTIONS ,20fl 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 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) (Mailin~ dddress b~'aPplica~t) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner ofpremises O-eCC~/ ia. (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 License No. Electricians License No. Other Trade's License No. Location of land on which proposed work will be done: House Number Street Hamlet CountyTax,Map ,No. 1000 Section Sub divi sio ~n~?~c-~'~, ,~ Block c~ Lot 'L (~ - (v Filed Map No. Lot State existing use and occupancy of premises and intended use and occupancy of proposed constructio~n: a. Existing use and occupancy \ Ct~- ~'---~,~ 6, ~'~ ~' "~ b. Intended use and occupancy ~, Ftc- r,,-, A ,,_, c~ ~o e I ~, ,', ~ Nature of work (check which applicable): New Building Addition Repair Removal Demolition Alteration Estimated Cost Fee If dwelling, number of dwelling units If garage, number of cars Other Work (Description) t - (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 Rear Height Number of Stories Dimensions of same structure with alterations.or additions: Front Depth_ Height. Number of Stories Depth Rear Dimensions of entire new construction: Front Height Number of Stories Rear Depth Size of lot: Front Rear Depth 10. Date of Purchase Name of Former Owner 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. Names of Owner of premises Name of Architect e~5,~eec Name of Contractor Address Address mzff V~o~'r ~.,~ Address Phone No. Phone No 7FO~, ~7-q 5'4 Phone No. 15 a. Is this property within 100 feet eta 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 eta tidal wetland? * YES NO / * IF YES, D.E.C. PERMITS MAY BE REQUIRED. NO ~ 16. Provide survey, to scale, with accurate tbundation plan and distances to property lines. l 7. 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 ~vith respect to this property? * YES · IF YES, PROVIDE A COPY. NO ~ STATE OF NEW YORK) SS: COUNTY OF ~ /~¢"X, ¢ 'X~c_ ~ \ (~SC_r-. c~ ]//~/~ being duly I (Name of individua~$ntract) above na~d, (S)He is the .g ~ e ~- ~: sworn, deposes and says that (s)he is the applicant (Contractor, Agent, Corporate Officer, etc.) cONNIE D. BUNCH Ca~ E~p~ms.~n' , of said owner or owners, and is duly authorized to perform or have perforn~ed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be perlbrmed in the manner set forth in the application filed therewith. Sworn tpabefore me this _~l ~)'1t'~ day of ~/'xxxg,~:L 201( Notary Public ©3-©3~11;13:24 ; 6143S16 ; ~ 1/ ~ Town ~ Annex ~4~?~ Main lloyd P.O. Box $outhold, NY 1 Ted~phonc (531) ?~1802 BUILDING '[O~rN 01~' SOUTHOT.D APPLICATION FOR ELECTRICAL INSPECTION JOBSITE INFORMATION: (*Indicates required information) Pe~it No.: ~l ~ ' *BRIEF DESCRIP~ON OF WOR~(PI~ Pfi~Cle3dy) . (Ple~e Cimle NI That ~ply) ~/ ~ *Is job ready for inspection: *Do you need a Temp Certificate: Tamp Information (If needed} *Service Size; 1 Phase 3Phase *New Service: Re-connect Additional Information: 100 Underground ~0 Rough In ~ ,E~/NO 150 200 300 350 400 Other Number of Meters Change of Sauce Overhead PAYMENT DUE WITH APPLICATION 82-Requestforlnspe~on Form ~.~ -..~ ..... , ~ ~ ~'~'~_,o,r.~.a~.~--IrOWN OF SOUTHOLD PROPERTY RECORD C~I~D~ /7~/_/6' OWNER STREET /~/i ~,~; VILLAGE I'~DI~T. SUB. LOT FOYER ~OWNER ' E ,~: ~a~ S W ~PE OF BUILDING RES~/~ I S~S. VL. FARM COMM. CB. MISC. Mkt. Volu~ ~ND IMP. TOTAL DATE REMARKS ~/~_ L&~50~2- ~r~fflo ~u~ - L~ ~00 ~0o~ 4500~ ~- L',~ ~ ~. D Fa~-~s'~ ~+~ ~4o ~GE BUIL~IN~ CONDITION ~ ~ . ~ N~ NOR~L BELOW ABOVE ~a-Le3~(e~- ~;~ N~ -~v~l ~ F~ ~cr~ V~lue P~r V~lu~ - , ~ ' ~ ~'~_ . o ' mi,,.b~. ~ ~/;,/~-L~¢~&qq- P/~nnx~~ ~ ~ ~- '' " ;7 ' Tillable 3 7//¢/0¢-Ll&33a¢gq3-~n~ e~ ~ 6~'~no4 Swampland FRONTAGE ON WATER ' Brushland FRONTAGE ON ROAD / O ¢ ~0 ~ ~,,, ~-,- ,, ,;.' House Plot DEPTH ,BULKH~D D~K ~otal ,~ ~1 ~ M. Bldg. Extension Extension Porch Porch Breezeway G~rage COLOR TRIM Basement Ext. Walls :ire Place Type Roof Recreation Roan Dormer Driveway Bath :loors nterior Finish Heat Rooms 1st Floor Rooms 2nd Flool Dinette K. LR. DR. BR. FIN. B. BUILDING PERMIT EXAMINER CHECKLIST Applicant: //~ ~ /~~ Owner: ~ Date Submitted: / ~ ~}r) - / [ Date Reviewed: ~'T-~'--( t SCTM# 1000-- 107__ ~ __ ~t.~, ~ Subdivision: Property Address: Estimated Cost: "- - Zone: Conforming? __ City: /4~~ Pre COs7 Building Permits (Open/Expired): BP __ -Z / C/0 Z- , Info: BP -Z / C/0 Z-__, Info: BP __-Z / C/0 Z-__., Info: BP -Z / C/0 Z-__, Info: BP -Z / C/O Z-__, [nfo: __ Single & Separate Search Required? Y orN Determination: REQ. Lot Size: ACT. Lot Size: REQ. Lot Cov. __ ACT; Lot Cov. REQ. Front ACT. Front REQ Side ACT. Side. REQ. Rear__ PROP. Rear REQ. Height. ACT. Height. ~ ~-.~, .lSo,,-~ Slb~5 ,gl ~. T Waterfront? Y ottO)" .... (57~ F~/ ~ . ~ If yes, water body: ~ - Panel// '--- Flood Zone: Bulkhead/BluffDmtance: -' ADDITIONAL APPROVALS REQUIRED Suffolk County Health: Y of N~- If yes, *Bed#: *Date: / / *Permit#: - If no, certification required: Y or N Received: Y or N By: NYS DEC: PuE-vec 9n/Ts Y or~- Date: Southold Trustees: Y 0r~- Date: __/__ __ Southold ZBA: Y o~- Date: / / Southold Planning: Y o~- Date: / Town Landmark C of A: Y o~DTE: Notes: / Permit #: Permit #: Permit #: Permit #: / Town Septic: Y o~ or NJ Letter - Notes: or NJ Letter - Notes: - Notes: - Notes: *NYS CODE Compliance (page 2~or N Fee Structure: Calculation: Foundation: SF First Floor: SF Second Floor: t~-J-O SF Other: SF Total: SF + Initial Fee: $ + Addition,al Fee ( ): $ SF X $ :$ + Initial Fee: $ ~'+ Additional Fee ( ): $ TOTAL: $ 7g 0, O O MAP OF PROPERTY SfTUATED AT MA1TITUCK. TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. SCALE 1"=30' SURVEYED BY: LAND DESIGN ASSOCIATES, P.C. 91 GREEN ST. HUNTINGTON. N.Y. PHONE (651) 549-4744 FEBRUARY 24, 2005 CERTIFIED TO: W. CHARLES ~ BEVERLY J. BENDER FIDELITY NATIONAL TITLE-RIVERHEAD ALL TOWN MORTGAGE-SMITHTOWN D[STRIC] 1000 SECTION ~07 BLOCK 09 t. OT 28.6 LOT AREA = 0.5165 AZ. AS-BUILT _-- SCTU# ooo- o7-9 26-6 EXISTING FRONT ELEVATION COMPLY WITH ALL CODES OF ~(~iFY BUILDING DEP~E~ ~ ~~~ NEW YORK STATE & TOWN CODES ~OLLOWING INSPECTIONS: ~ / ~ FOR POURED CONCRETE ELEC~ICAL ~E~IRE~ENTS OF THE C~S ~ INSPECTION REQUIRED YORK STATE ' Sm~R US~ INWA TER SUPPLY SYS~M mNNO7 p~. ~ EXCEED~IO OF 1% LEAD. EXISTING RIGHT ELEVATION AS-BUILT SCTM# 1000-107-9-26-6 EXISTING LEFT ELEVATION SCALE: 1/4": 1'-0' DRAWN BY: JF i]anuary04, 2011 SCALE: 1/q" = 1'-0" SHEET NO: ~ , .-,~ .................... ~r r EX.BEDROOM No. 1 EX. BEDROOM No. 2 ~ ........................ ' ~X ~ N~ ~E~GOm EX. STOOP ~ IX. DINING RM. ~ EX. FRONT PORCH II ~ ~ ~ EXISTING 1ST. FLOOR P~N SCALE: 1/4" = 1'-0' "8 DRAWN BY: .]F ]anuary 04, 2011 ;CALE: 1/4" = 1'-0' SHEET NO: AS-BUILT SCTM# 1000-107-9-26-6 CEILING COMPLIES WITH SECTIOH R305 NYS CODE .............. ARTIFICIAL LIGHT PER SECTION R303 NYS CODE I TOTAL 2ND. FLOOR L,V,NO S,ACE= 450 SQ. FT. I BEDROOM AREA: 179.0 SQ. FT. LIGHT: 9.2 SQ, FT. ('5.1%) VENT: 8.6 SQ. FT. (4.8%) ~u~ O 3 EXISTING 2ND, FLOOR PLaN DRAWN BY: JF SHEET NO: