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Home My WebLink About36168-ZTown of Southold Annex 54375 Main Road Southold, New York 11971 9/19/2011 CERTIFICATE OF OCCUPANCY No: 35224 Date: 9/19/2011 THIS CERTIFIES that the building Location of Property: SCTM #: 473889 Subdivision: RESIDENTIAL ADDITION 2135 Marlene Ln, Mattituck, Sec/Block/Lot: 144.-3 - 12 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 2/7/2011 pursuant to which Building Permit No. 36168 dated 2/7/2011 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: 22' X 24' addition to a single family dwelling. The certificate is issued to Singleton, Joseph&Singleton, Mary (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 36168 9/16/11 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 #: 36168 Date: 2/712011 Permission is hereby granted to: Singleton, Joseph 2135 Marlene Ln Mattituck, NY 11952 To: construct a 22' X 24' addition to a single family dwelling. At premises located at: 2135 Marlene Ln Pursuant to application dated 2/7/2011 and approved by the Building Inspector. Fees: SINGLE FAMILY DWELLING - ADDITION OR ALTERATION CO - ADDITION TO DWELLING Total: $411.20 $50.00 $461.20 Building Inspector Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application nmst be filled m by typewriter or ink and submitted to the Building Department with the k~llowing: A. For new building or new use: 1. Final survey of property with accurate location of all buildings, properly 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. Ifa Certificate of Occupancy is denied, the Building Inspeclor 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 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: ........ (check one) ttouse No. Street ~ Hamlet Owner or Owners ofmropc~y:~ ~ ~"'~ ~/~/~ ~. ~ ~¢~/~ Suftblk County Tax Map No l000, Section ~" Block ~ 5 ''/--' ~ ]~ Subdivisiou Permit Health Dept. Approval: Planning Board Approval: Request tbr: Date of Permit. Te~nporary Certificate Filed Map. Applicant: Underwriters Approval: Lot: Final Certificate: (check onc) Fee Subnaitted: $ [:Z~) . ~ Appli~mt Si~ature ~ Town Hall Annex 54375 Main Road P.O. Box 1179 Southold. NY 11971-0959 Telephone (631) 765 1802 Fax (63 I) 765~9502 rofler, richert~town.southold.n¥.us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION ssued To: Joe Singleton ~ddress: 2135 Marlene La City: Mattituck St: NY Zip: 11952 ~uilding Permit #: 36168Section: l'-!,fl B,ock: 3 ,ct: ig WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE 2.ontractor: DBA: Klein Electric Inc LicenseNo: 4423-me SITE DETAILS Office Use Only Residential ~ Indoor ~ Basement ~ Service Only ~ Commerical Outdoor 1st Floor Poo~ New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 3 ph Hot Water GFCl Recpt Main Panel A/C Condenser Single Recpt Sub Panel NC Blower Range Recpt Transformer Appliances Dryer Recpt Disconnect Switches Twist Lock Other Equipment: Ceiling Fixtures ~~[~ HID Fixtures Wall Fixtures 131 Smoke Detectors Recessed Fixtures CO Detectors Fluorescent Fixture~ Pumps Emergency Fixture Time Clocks Exit Fixtures I I TVSS 1-combo smoke/co detector, 2-paddle fans, 12ft of track lighting GFCl protected disconnect for self contained hot tub Notes: Inspector Signature: Date: Sept 16 2011 81-Cert Electrical Compliance Form TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [~] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRAMING / STRAPPING [ [ ] FIREPLACE & CHIMNEY [ [ ] ~"r~'r~r~tm'm~ [ RE.ARKS: / ~--~ ~~-~ [ ] INSULATION ] FINAL ] FIRE SArK, ( INSPECTION TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST ~)~ FOUNDATION 2ND [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL [ ] FIRE SA,..-, ~' INSPECTION [ ] FmEn~t~O~'~n~O~ [ ] FRAMING / STRAPPING [ ] FIREPLACE & CHIMNEY ] FIRERESlSTANTC0NS~UC'n0. REMARKS: DATE TOWN OF SOUTHOLD BUILDING DEPT. 765-t 802 INSPECTION [ ] FOUN~JON 1ST [ ] ROUGH PLBG. [ ]~JNDATION 2ND [ ]INSULATION [~]~FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE&CHIMNEY [ ] FIRESA~-,.~,fI~ DATE ~///,/ '"SPECTO~'"'~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING / STRAPPING [ ]FINAL [ ]FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION RRE RESISTANT C0#S~UCTI0# [ ]RRE RESISTANT PENETRATION ELECTRICAL (ROUGH) [ ]ELECTRICAL (FINAL) REMARKS: DATE INSPECTOR~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG, [ ]~UNDATION/ 2ND [ ~INSULATION [~//] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAJ'""Ir INSPECTION [ ]FIRER~i~ANTI~ISTRUCttlON [ ]FIRERE~I~tANTPF. NETRATION REMARKS: ~~-~' DATE ~ INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING / STRAPPING [ ] FIREPLACE & CHIMNEY [ ] RO~4~PLBG. [ ]~N~ULATION [ ~/~ FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ]ELECTRICAL (ROUGH) ] ELECTRICAL (FINAL) REMARKS: DATE INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION ] FOUNDATION 1ST ] FOUNDATION 2ND ] FRAMING / STRAPPING [ ] FIREPLACE & CHIMNEY [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ~] ELECTRICAL (FINAL) REMARKS: DATE INSPECTOR~' TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN~LL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork. net Examined .d-// 20 Approved ~7 Disapproved a/e Expiration 28 201] ,.,' BEDG DEPT. TOWN OF SOUTHO[O 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 iN' ~' Survey Che~k Septic Form N.Y.S.D.E.C. p/an-. Trustees ~oed Permit Storm-Water Assessment Form Conlact: Mail to: ~.1~'" ~4t~B,k~' Phone: ,Z,,,~'~ Building Inspector PPLICATION FOR BUILDING PERMIT Date //Z ~ ,20 I! INSTRUCTIONS 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 ,-late 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 Inspec~r 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 bnildings, 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. ~Si~a'ture of ap~lic~ame, ifa corporation) (Mailing add.ss of applicant) ~ ~ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Nameofownerofpremises L//~b~'ra/,~ ~. '~- /~,~,~y',~ ~,'~.r~/-~r'~tv' (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. 1. Location of land on which proposed work will be done: House Number Street Hamlet County Tax Map No. 1000 Section /'t/rtZ' Block ~ Lot / ~. Subdivision Filed Map No. Lot 2. State, existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ! ,~t~..)~ ~ s ~O~-~n/~- b. Intended use and occupancy /~ /.E~ ~r~ ~ /~',~ $ / O~ ~t~ ,,~ Alteration Addition Other Work 3. Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost ~' ~, O ~)t) If dwelling, number of dwelling units If garage, number of cam (Description) (To be paid on filing this application) / Number of dwelling units on each floor If business, commercial or mixed occupancy, specify nature and extent of each type of use. Dimensions of existing structures, if any: Front ,~.,~ r Rear .ff..~ e Height ~ ~' ~ Number of Stories / Dimensions of same structure with alterations 91' additions: Front .~'.~" Depth t~ ~ Height. ~'" 7_~ Number of Stories Rear / 8. Dimensions of entire new construction: Front Height ~ Number of Stories 9. Size of lot: Front / ~.2.~ Rear /~,~' 10. Date of Purchase ~r~.~i~,o~ 0 Name of Former Owner Rear .Depth Depth i,t,,,/~ ' ~ -.-.. 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? YESes_ NO fi: Will excess fill be removed from premises? YES ~ 14. NamesofOwnerofpremises x/~8~-~tC..-~a~tress I~./:~f~'l~.~t.. PhoneNo. Name ofAmhitect ,ZJOn~t-O ~:~l'-~v~. Address/l?,aS"/'f~,~un~ PhoneNo Name of Cont*actor Address ~',~tt" Phone No. NO 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. Is this property within 300 feet ora tidal wetland? * YES__ NO )C * 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 __ · IF YES, PROVIDE A COPY. NO STATE OF NEW YORK) SS: COUNTY OF ) ~/~o~. ~...~v'~t-l~g'~,e~' being duly swom, deposes and says that (s)he is the applicant (Name of illdividual 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 ail statements contained in this application are 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. 20 ti Nolar/PuUic, State ~1~ yo~k Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 TeLephone (631) 765-1802 roger, dch e r t~,t~,°~J~6 u~l~l~, ny. us BUILDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION UESTED BY: Company Name: Name: License No.: No.: Date: ~--/O-. /! JOBSITE INFORMATION: (*Indicates required information) *Name: _'~'o ~' ~?~/~ !,tJro~,/ *Address: ~1%~' J~Q ~J' I"~ jaw~ *CrossStreet: Po,o.,'. *Phone No.: ' Permit No.: ~(,.,1(~ ~ Tax Map District: 1000 Section: i L~ q Block: :~ Lot: i,~ *BRIEF DESCRIPTION OF WORK (Please Pdnt Clearly) (Please Circle All That Apply) *Is job ready for inspection: *Do you need a Temp Certificate: ~)/NO YES ~ Temp Information (If needed] *Service Size: 1 Phase 3Phase 100 150 200 300 350 *New Service: Re-connect Underground Number of Meters Change of Service Additional Information: PAYMENT DUE WITH APPLICATION Final 400 Other Overheed 82-Request for Inspection Form Town Hall Annex 54375 Main Road P.O. Box 1179 Southold. NY 11971 0959 Telephone (631) 765-1802 Fax (63 l) 765-9502 BUILDING DEPARTMENT TOWN OF' SOUTI-IOLD August 25, 2011 Mary Singleton 2135 Marlene Lane Mattituck, NY 11952 TO WHOM IT MAY CONCERN: The Following Items Are Needed To Complete Your Certificate of Occupancy: __ Application for Certificate of Occupancy. (Enclosed) Electrical Underwriters A fee of $50.00 __ Final Health Department Approval. __ Plumbers Solder Certificate. (Ni permits involving plumbing after 4/1/84) __ Trustees Certificate of Compliance. (Town Trustees #765-1892) __ Final Planning Board Approval. __ Final Fire Inspection from Fire Marshall. __ Final Landmark Preservation approval. BUILDING PERMIT: ~I~.Z addition.__ · ToWn_ of Southold Erosion,· SedJmentafi°n & S.torm-Water Run'Off ~SSESSMENT FOR:.'- THE FOLLOWING AG'/3ON~ MAY REar UIRE TIlE SUB~!S~.DN,OF A ' STORM.-WATER~ GRADING? DRAJ,HAGE AND E~_fl=q.JoN C:OKJ'ROL CEK [J~l~_u BY A DESIGN PRO. FESSjO~JAL IN THE STATE OF HEI~ $COPEOYWORK - PROPOSED CONb-"rRucTION One~ude Tolal Ama of att Palcels located vA~ b. Wna[ b lhe TolaJ Area (ff Land C~ PROVIDE BRTI~ PRQ.~C~ I)F. SC~'~ON Ipa./~,~,~ COUNTY OF .............. ~\~....~. ........ SS ITEM # / WOIlKAg~m.~m~jT. Impervk~) 2 ooe~ m sac ~an anw°r's, wey Show ~a Pro~:~_ _ _ _ S~~Wa~. 3 ~~n~y~e~ c~ ~. ~m~a~e ~ ~ ~e ~ ~ ~ ~ ~b~ Ye~s of Matefl~ ~ ~y ~ bn~p~ing ~ ~a h ~s of (5,~0'S.F.) ~uare Feet of G~nd ~? 6 Is ~em a Ne~I Water ~ Ru~ ~ ~ ' Site? ~ ~ls P~e~ ~in ~ T~t~ ~ ~ ~ Hun~ (1~) feet of a WeS~ ~e~? ~r~e ~ Si~ ~p~ ~ ~e ~ ~ ~ ~ ~n 0s)~ mv~'~ ~ I I./ ' ~o ~ ~ ~e d~ ~ a T~ N~e~ P~, ~M ~ ~ Yo~ ~. 01BU61~ Qualified.in Suffolk County "l]mtl ................................... ,_ . ,_ . , C.ommlaslofl. Explres.A..pfl114,2~_~_p~, (mine ot~ ~'~) ......... ucmg amy sworn, oepc~es aha says that he/she ts the applicant for Pe3~t, And tl~ he/she ~s the · . ~ ............. ~...~~..~) ..................................... Owner ~i/or repre~mt~uve of the Owner or Ownen, 3nd ~s d~ ~uthor~ed ~o perform or h~ve ]~rformed the ~id ~ork make ~nd file this application; that ~ s~L,~ents contained in th~ 3ppllc~on 3re ~rue to the be~t ofh~ know]edge ~ be~eJ~ that ~e work ~ be performed in the m3nner set forth in the al~licaion fi]ed herewith. FORM - 06110 REScheck Software Version 4.3.0 Compliance Certificate Project ~tle: Singleton Residence Energy Code: 2003 IECC L(x~tion: MattJtucl(, Ne~ York Conatruc~n Tl~e: Single Family Glazing Area Pe~: 21% Heating Degree ~ays: 5331 Construction Site: ;~1~5 Maheno Lane Matfitock, NY ! 1952 Owner/Agent: Compliance: Maximum UA: 110 Your UA: 95 Designer/ConlTactor: Donald G. FeP, er - Architoct Ceiling 1: Cathedral Ceiling (no attic) Wall 1: Wood Frame, 16" o.c. Window 1: Wood Frame:Double Pane with Low-E DOO~ 1: Solid FlOOr 1: Ali-Wood Joist/Truss:Over Unconditioned Space 576 30.0 0.0 20 492 21.0 0.0 21 102 0.320 33 21 0.190 4 528 30.0 0.0 17 Compl~nce Slatement: The proposed building design do~-'fibed ~re is cons/stent with U~e b~ilding plans, specifinc.,~ions, and other calculations submitted with the permit application. The proposed ~luil~ng has been dealgn~l to meet 01e 2003 IECC requirements in . . Name-T~e'-t , ' ( ' ' ~ L [ bate g Project Title: Singleton Residence Report date: 01/18/11 Data filename: Untitled.rck Page I o~ 1 I:z'-o"CO -...,z,. o,, 2.2 - o ,'2.,~'. 0 .~,~.~ ~- ~ ~ ~'~'~ "' ' . J ' o 24' % ~tTO .... ~ ,, : --- ~ ~ I~l~ , ~ '/ ~ : ~ ~ ~'~, ~L~- %,,~%. ~<'L[~''~'' ~ ' ~ ~z ' - , _ ,. ............ . ~, ~,,~,, ...... _ ................................. SILL TO RIM J~T ~ ~ ,, '.,.,, ~,~ ,~',~'!~ ~ ~ ~m~ F~ ~ ~ : ~ ~' ' ~ 0 k~ ~L~ V%~ 4, EXISTING ~OITIONS: ~ ~ mmov~ - I~ (~l ~t limi~ ~): 4. BUILDING PAPER: 3~ FeR on ~h and ~, ' ]~ i ~ e~stlng ~ ~o, ex~ ~L ~1~ ~11, ~n~, a~ any 5, ROOF SHINGLES: ~e, dimensmnal, to ~ e~fi~. ~ ~ ~ - ~B"~ ~ .......~ ~ TL~ ~ ~ ~ a~rdan~ ~ ~1 ~ e~d ~uln~ons d i~n~ and m~l~ 7. 1NTERIOR ~OO ~IM; Ba~ - 1~4 F nger-j~n WhRe ~ne, ~h~" Ben~min ~ or ~ua[. ~ '' ''['' ' ¢ I ' ~ .... , ~ I CONCR~E~ENGTH, ~oop~28d~; 9. G~SUMB~: 1~"at~ilingandwat~, ~G'~b* ~,5,~ _ ~~ ........ )~., ~ CO~O~ Con~ahall~a~alr~m~r~u~is~40~F. 10. GUTT~S&L~DERS:aI~inum,~"e, 5'xa-ll2~gu~,2"X ~} ~ ~ ~ ~.-, -~'= ~o~ ~~ Con~ s~ll ~ ple~ ~n air ~pe~tum ~s ~ 40 d~ F 1 I. ~ CO~E~ORS: ~ S~ng-T~ g~h~; 4. STUCCO: ~r ¢ e~ ~ ~s lo he~ MC on -- / ' - ' ,,, I ~ ~, ~ i I , , ' NOTIFy FOR POURED CONCRETE I t j ~ ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODE8 OF DESIGN OR CONSTRUCTION ERRORS. RETAIN STORM WATER RUNOFF - IN~PE~ON