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Home My WebLink About36356-ZTown of Southold Annex 54375 Main Road Southold, New York 11971 10/7/2011 CERTIFICATE OF OCCUPANCY No: 35222 Date: 10/7/2011 THIS CERTIFIES that the building Location of Property: SCTM #: 473889 Subdivision: COMMERCIAL ALTERATION 13900 Route 25, Mattituck, Sec/Block/Lot: 114.-11-2 Filed Map No. conforms substantially to the Application for Building Permit heretofore 3/1/2011 pursuant to which Building Permit No. 36356 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: Alterations to a Library; erect 2 walls with interior window & door to create an interior room, as applied for. Lot No. filed in this officed dated dated 5/4/2011 The certificate is issued to Mattituck-Laurel Library (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 36356 9/30/11 AuthortSzed Signature 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 #: 36356 Permission is hereby granted to: Mattituck-Laurel Library 13900 Route 25, Mattituck, NY (PO BOX 1437) Mattituck, NY 11952 Date: 5/4/2011 To: Alterations to a Library; erect 2 walls with interior window & door to create an interior room, as applied for. At premises located at: 13900 Route 25 SCTM # 473889 Sec/Block/Lot # 114.-11-2 Pursuant to application dated To expire on 11/212012. Fees: 3/1/2011 and approved by the Building Inspector. CO - COMMERCIAL NEW COMMERCIAL, ALTERATION OR ADDITIONS Total: $50.00 $308.80 $358.80 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 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. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing alt 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, 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: Location of Property: / ~ 6] {,)/) ~ oQ~y- House No. Street Owner or Owners of Property: - ./~/?,~/Jff~Z/'~ ~r-~a~- ~ Suffolk County Tax Map No 1000, Section ///7/ Subdivision Permit No. ~ ~0 ~ ~--b (check one) Block Filed Map. Date of Permit. Dr-- ~7z~ // Applicant: Lot ~ Hamlet Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ -~O:_. ~/l~ Final Certificate: Lot: Applicant Signi~"~re (J t Underwriters Approval: ~(dleck one) Town Hall Annex 54375 Main Road P.O. Box 1179 Southold. N Y I 1971-0959 Telephone (631 ) 765- 1802 Fax (631) 765 9502 ro,qer, richert~town.southo d ny us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Mattituck Laurel Library Address: 13900 Main Rd City: Mattituck St: NY Zip: 11952 Building Permit #: 36356 Section: 114 Block: 11 Lot: WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Doroski Electric Inc License No: 2941-e SITE DETAILS Office Use Only Residential ~] Ind°°r R Basement [~ Service Only~ Corn tactical Outdoor 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 3 ph Hot Water GFCI Recpt Main Panel NC Condenser Single Recpt Sub Panel A/C Blower Range Recpt Transformer Appliances Dryer Recpt Disconnect Switches Twist Lock Other Equipment: 2 recpticles in new wall Ceiling Fixtures [~ HID Fixtures Wall Fixtures I'~ Smoke Detectors Recessed Fixtures I~ CO Detectors Fluorescent Fixt ure~J~ Pumps Emergency Fixture Time Clocks Exit Fixtures ~ TVSS Notes: Inspector Signature: Date: Sept 30 2011 81-Cert Electrical Compliance Form Phone No.: A~?p~ LIBATION FOR ELECTRI!;~ ~Jjb~.~ JO~61TE INFORMATION: (*lndlcatel required information) *Add/eM: *¢rOII Street: PMmlt No.: TIX Mep Diitri~t: 1000 'iRIEF OE$~eRIPTION OF WORK (P~lle P~nt C~Ni,)) , , , (IqlMe Circle Ail Th;il Apply) '11 ~ob rildy k)r *Do you need m Tern;, Ce~t~qoate: Temp Infen~etl~n (11' m)eded~ t 00 160 200 300 300 ~00 (3~er I~,m.cc,nneot Underground Nun~r cf ~*lft ~ ed ~ervlal OvefnMd 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 DEPT. 765-1802 INSPECTION FOUNDATION 1ST FOUNDATION 2ND FRAMING / STRAPPING FIREPLACE & CHIMNEY FIRm RmST,~r CONSTRUCt~ [ ROUGH PLBG. INSULATION ~N~FINAL [ ] FIRE SArc,( INSPECTION ] FIRE RESlST~I' FBIETRATIOH REMARKS: DATE '/-7 // INSPECTOR~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING / STRAPPING [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL [ ] FIREPLACE & CHIMNEY ~)~FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: DATE INSPECTOR TOWN OF BUILDING TOWN HA SOUTHOL TEL: (631) FAX: (631) SoutholdTc in,~o~thlgnrk.net PF ~ilO. BLOG DEPT. TOWN OF SOUTHOLO Examined ~ '- 0~'¢ ,20 ~ J Expiration 11 '~- ~ , 20 ~-'-- 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 Cheek Septic Form Flood Permit Building Inspector APPLICATION FOR BUILDING PERMIT Date 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 ~reas, 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. £ 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 fi.om such date. lfno 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 Southuld, 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 inspectinns. (Signature o f apph~ant olf~hamd, if a ¢o¥orat'o' ) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name ofownerofpremises ~?~ ~'~t"('LrC~- 1~2,t.L~?~' LL~V'O.~Id (As on the tax roll or latest deed) If applicant is a eorporafion, signature of duly authorized officer (Name and title of corporate officer) Builders LicenseNo. Plumbers LicenseNo. Electricians License No. Other Trade's License No. 1. Location of land on which prqposed wor~vill be~ done: Ho~ ~mber 'Street ' H~let Coun*T~MapNo. IO00 Section Ilq Block It Lot Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises ap~ intenOe~use and occupancy of proposed construction: a. Existing use and occupancy ~)[A ]3{I/I. b. Intended use and occupancy ~){~1~ ~ I - 3. Nature of work (check which applicable): New Building. Addition Alteration Repair Removal Demolition Other Work 4. Estimated Cost /~ /t~;~)~ Fee 5. 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 oeeupancy, speeif~ natare and extent of each type of use. 7. Dimensions of existing structures, if any: Front L~[o/ Rear q~./ Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front ~tA~"~ ~ O. jaOnYe.~Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front /~]~ Rear .Depth Height Number of Stories 9. Size of lot: Front q/3~ Rear J~L~ '~Z~ Depth 10. Date of Purchase Name of Former Owner t 1. Zone or use district in which premises are situa~d 12. Does proposed construction violate any zoning law, ordinance or regulation? YES__ NO '/ / 13. Will lot be re-graded? YES ~/[pO Will excess fill be removed from premises? YES bt//N/~ __ 14. Names of Owner of premises ~/~t'J~t)CJ~- [J~A~ress~'/.~OO(~Y~6tlAd ~, Phone No. ,~J:~-q/~ ~ Name of Architect Address Phone No Name of Contractor Address Phone No. 15 a. ls this property within 100 feet of a tidal wetland or a freshwater wetland? *YES __NO * 1F YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. 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 ~ · IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF~ v F~O.- K ) ~ ~-'Ojr(~/ being duly sworn, deposes and says that (s)he is the applicant (Name of individual si~ning contract) above named, . (Contractor, Agent, Corporate Ofticer, ~[c.) 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 thc 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 4_.9~,.~day of r~,~ ,~f,J.-,_ 20. { I Notary P u ¥.[ffilA B.SCHOLL Nowry ~M~ ~ 'e ~ N~Y~ ~m~lon ~1~ ~ BUILDING PERMIT EXAMINER 'CHECKLIST ~Date Sut(mitted: Applicant: Arch,tec~. ~~ :~ Estimated Cost~ ]O ~ __ SCTM# 1000-- ]1~-- II .. ~ Subdivision: Property Address: ?~00 j~t~ ~ ? Building Permits (Open/Expired): BP__-Z / C/0 Z-__, Info: BP__-Z / C/0 Z- , Info: BP__ -Z / C/0 Z- , Info: Single & Separate Search Required? Y o~) Determination: REQ. Lot Size: REQ. Front REQ. Height. ACT. Lot Size: __ ACT. Front REQ Side ACT. Height ACT. Side Zone: Conforming? City:/Y/~ BP -Z / OdO Z- BP -Z/C/O Z- REQ. Lot Cov. __ REQ. Rear ,tI~T Pre COs? , Info: , Info: __ ACT: Lot Cov. PROP. Rear Waterfront? Y o~(._~ ~ If yes, water body: Panel# Flood Zone: ' - Bulkhead/Bluff Distance: ADDITIONAL APPROVALS REQUIRED Suffolk County Health: Y o~)- If yes, ~Bed#: *Date: / / *Permit#: - If no, certification required: Y or N Received: Y or N By: NYS DEC: PRE-DEC911175 Y or(~-- Date: I / Permit #: Southold Trustees: Y o¢- Date: / / Permit #: Southold ZBA: Y oz(~- Date: __/__/ Permit ~: - Notes: Southold Planning: Y o~ Date: ~/ / Permit ~: - Notes: Town Landmark C of A: Y o~TE: / / ~ . *~S.CODE Co~ ,, --". Town Septic: Y off~ or NJ Letter - Notes: or NJ Letter - Notes: ~pl~ance (page 2): Y or N ]Fee Structure: Foundation: SF First Floor: /, ~t 7__S? Second Floor: SF Other: SF Total: SF Calculation: + Initial Fee: $ ~-,5-~_, oO + Additiongl Fee ( ): $ SF X $ =$ + Initial Fee: $ x o0'~+ Additional Fee ( ): $ Municity ~~ Chronology of Events - 2011 - Matt-Laurel Library 11-03-15 Reviewed plans for a small renovation. Need the following: 1. Wall material 2. Stud matedal 3. Finishing materials 4. Is there carpet under the new walls? 5. Electric? Municity Page 1 of 1 Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971 0959 Telephone (631 ) 765-1802 Fax (631 ) 765-9502 BUILDING DEPARTMENT TOWN OF SOUTHOLD July 8, 2011 Mattituck-Laurel Library PO Box 1437 Mattituck, NY 11952 Re: 13900 Route 25, Mattituck TWO WHOM IT MAY CONCERN: The Following Items Are Needed To Complete Your Certificate of Occupancy: __ Application for Certificate of Occupancy. (Enclosed) //Electrical Underwriters Certificate. A fee of 50.00. Final Health Department Approval. Plumbers Solder Certificate. (All permits involvin9 plumbing after 4/1/84) Trustees Certificate of Compliance. (Tow. Trustees #765-'1892) Final Planning Board Approval. '"'/ Final Fire Inspection from Fire Marshall. Final Landmark Preservation approval. BUILDING PERMIT: 36356 - Alterations to library To~vn Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 Telephone (631) 765-1802 Fax (631) 765-9502 September 16, 2011 Mattituck-Laurel Library PO Box 1437 Mattituck, NY 11952 BUILDING DEPARTMENT TOWN Ol® SOUTI-IOLD TO WHOM IT MAY CONCERN: The Following Item(s) Are Needed To Complete Your Certificate of Occupancy: __ Application for Certificate of Occupancy. (Enclosed) // Electrical Underwriters Certificate. A fee of $50.00. __ 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. J Final Fire Inspection from Fire Marshall. - Bob Fisher __ Final Landmark Preservation approval. BUILDING PERMIT: 36356- Alterations to Library Room Design Mattituck/Laurel Library by Paul S. Szpara Febuary 24, 2011 / / / / / Study Room Des~gr Mattituck/Laurel Lil: by Paul S. Szpara Febuary 24, 2011 ;sign I Library ~ TO : ~ CI~CULATI( / NEW YORk STATE & TOWN CODES INSPECTION REQUIRED APPROVED AS NO~ED