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Home My WebLink About36772-ZTown of Southold Annex P.O. Box 1179 54375 Main Road Southold, New York 11971 7/6/2012 CERTIFICATE OF OCCUPANCY No: 35800 Date: 7/6/2012 THIS CERTIFIES that the building ACCESSORY Location of Property: 355 Hobson Drive, Mattituck, SCTM #: 473889 Sec/Block/Lot: 122.-6-25 Subdivision: Filed Map No. conforms substantially to the Application for Building Permit heretofore 10/11/2011 pursuant to which Building Permit No. Lot No. filed in this officed dated 36772 dated 10/25/20 ! 1 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' Accessory Apartment: Living Room / Bedroom, Kitchen, Bath, for apartment in an existing one family dwelling as applied for. The certificate is issued to Farina, Mark & Deborah (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 36772 5/7/12 'JAutho~i~ed ' '~ S~gnature 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 #: 36772 Date: 10/25/2011 Permission is hereby granted to: Farina, Mark & Deborah 355 Hobson Drive Mattituck, NY 11952 To: 'As Built' Accessory Apartment; Living Room / Bedroom, Kitchen, Bath, as applied for. At premises located at: 355 Hobson Drive, Mattituck, NY SCTM # 473889 Sec/Block/Lot # 122.-6-25 Pursuant to application dated To expire on 4/25/2013. Fees: 10/11/2011 and approved by the Building Inspector. CO - ALTERATION TO DWELL1NG SINGLE FAMILY DWELLING - ADDITION OR ALTERATION Total: $50.00 $770.64 $820.64 Building Inspector APPLICATION FOR CERTIFICATE OF occUPANcy Tbi~ applioation must be filled ia by typewriter or ink and subraitted to the Building Department with the follo~Ving: A~ For new build~g or new use: 1. Final surv°y °f Prol~rty with accurate'location of all buildings, property lines, streets, and unnsual natural, or topographic featur6s. 2. Final Approval fi~om Health D.epC of water supply and sewerng¢.disposal (8.9 f~rm)) 3-. Approval of electrical installaticu from Board 0f Fire Underwriters. ' 4. 'aw. om statement from plumier c, ortifying that th~ ~old~r used in system contains le~s tIron 2/10 of 1% lead. 5. Commer'0ial building, industrial building, m~iltiple reside~oea and similar buildings and installations, a certificate of Code ComPlialxco'from architect or engineer responsible for the building: .6.Submit planning Board Approval of completed site plan requirements. B. For existi~ng buildings (prior to April 9, 1957~i don-conforming us~s, or buildings and "pre-existing" litnd uses: I. Accurate survey of property showing all property lines,'streets, building and. unusual natural or topographic features. 2. ^ properly co~mpleted application and consent to inspect signed.by the applicant. Ifa Certificate of Occupancy is denied, the Building Inspector shall state the reason~ therefor in writing to the applicant. C. Fees 1. Certificaie of Occupancy - blew dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00, SWimmir~g po01 $50.00, Accessory building $50.00, Additions to accessury building $50.00, Businesses $50.06. Certificate of Oecupancy on Pre-existing Building - $I00.00 3.Copy of Certificate of. Occupancy- :$.25 4. UpdatedCertif'ma[e of Occupancy- $50.00 5_ Temporary Certificate 6fOccupancy - Residential $15.00:' Commerc al $15.00 Construction: -~*ation of Propeay: ' 229 ~-9 ~ HOuse~ No. ~r ~ O~ ~fPmp~ . ~ ~ ~olk ~ty T~ Map No'l 0~0, 8~tiqn l~si~n Dept. Approval: 'lanning Board Approval: Old or Pre-existing Building: Date. Street .' 1 Da~ofPermic (check one) Hamlet Filed Map. Applicant: Undcmm'itet~ Approval: .~qucst for: Temporary Certificate oe Submilted: $ ~ . ~ Final Certificate: (check one) Avvlicant Signature Town Hall Annex 54375 Main Road P.O. Box 1179 Southold. NY 11971 0959 Telephone (631 ) 765-1802 Fax (631) 765-9502 ro,qer, richert~town.southold.ny.us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION ssued To: Mark Farina ~,ddress: 355 Hobson Dr City: Mattituck St: NY Zip: 11952 ~uilding Permit #: 36772 Section: 122 Block: 6 Lot: WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Gerart Elec Cont LicenseNo: 40564-me SITE DETAILS Office Use Only Residential ~ Indoor ~ Basement ~ Service Only [~ Commerical Outdoor 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Se~vicelph ~ Heat ~ DuplecRecpt ~ Service 3 ph Hot Water GFCl Recpt Main Panel A/C Condenser Single Recpt Sub Panel A/C Blower Range Recpt Transformer Appliances Dryer Recpt Disconnect Switches Twist Lock Other Equipment: Ceiling Fixtures ~ HID Fixtures Wall Fixtures I I Smoke Detectors Recessed Fixtures~ CO Detectors Fluorescent Fixture [~ Pumps Emergency Fixtures~ Time Clocks Exit Fixtures ~ TVSS addition of 8 recessed lights, 2 combination smoke/co detectors Notes: Inspector Signature: Date: May 7 2012 81-Ced Electrical Compliance Form.xls TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] ROUGH PLBG. [ ] INSULATION ~/~FINAL [ ] FIRE SAFETY INSPECTION [ ] FOUNDATION 1ST ] FOUNDATION 2ND [ ] FRAMING / STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: DATE INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ] INSULATION [ ]FRAMING/STRAPPING [~FINAL [ ] FIREPLACE & CHIMNEY [ [ ] FIRE RESISTANT CONSTRUCTION [ [ ] ELECTRICAL (ROUGH) [ ] FIRE SAFETY INSPECTION ] FIRE RESISTANT PENETRATION ] ELECTRICAL (FINAL) REMARKS: DATE '~ ~f ~- / ~ INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING / STRAPPING [ [ ] FIREPLACE & CHIMNEY [ [ ] FIRE RESISTANT CONSTRUCTION [ [ ] ELECTRICAL (ROUGH) REMARKS: [ ] ROUGH PLBG. [ ] INSULATION ] FINAL ] FIRE SAFETY INSPECTION ] FIRE RESISTANT PENETRATION ~-EI.ECTRICAL (FINAL) DATE TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I~ATION / [ ] FRAMING / STRAPPING [ 'v'] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION k ECTRI~ (ROUGH) ~ [ ] ELECTRICAL (FINAL) RKS. /~q~ ?'*~-~,~ ~ /'~ , DATE INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING/STRAPPING I I FINAL FIREPLACE & CHIMNEY ~IRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net PERMIT NO. 77¢-- Building Inspector BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board approval Check Septic Form Mail to: Phone: Contact: 1 2011 BLDG. DEPf. TOWN OF SOUTHOLD 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 areas, and watexways. 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. Thereafier, a new permit shall be required. APPLICATION 1S HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance oftbe Tovm 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, homing code, an ' d to admit authorized inspectors on premises and in building for necessary inspectio~/~/~_ . ~.~ ~'~"- (Slgna ureofapplic~nt or name, ifacorporatlon) (Mailing adilress of al~icant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder (As on the tax roll o~']atest 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. l. Location of land on which p[oposed work will be done: House Num~'~r-- ~ Street Hamlet County Tax Map No. 1000 Section Subdivision BlockOOO ~' Filed Map No. Lot 0 ~.-0~- Lot 2. State existing use and occupancy of pr~ses and intended use and occupancy of proposed construction: a. Existing use and occupancy 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work (I~s~ption) 4. Estimated Cost Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units ,~ Number of dwelling units on each floor If garage, number of cars 6. If business, commercial or mixed occupant specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: ~ font 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 Rear Height Number of Stories 9. Size of lot: Front Rear _Depth lO. Date of Purchase ,~.~.'~'_~ Name ofFormerOwner 0-~1~-£/~ ~-~¢ ~-~ {~/~---'H~ 11. Zone or use district in which premises are situated ~'5 ~'~t22-' 3"_~' 12. Does proposed construction violate any zoning law, orc~inance or regulation? YES NO ~ 13. Will lot be re-graded? YES NO ~ Will excess fill be removed from premises? YES__ NO__ t4. Names of Owner of premises Address Phone No. Name of Architect Address Phone No Name of Contmctur Address Phone No. 15 a. Is this property witlfin 100 feet of a tidal wetland or a freshwater wetland? *YES__ lqO ~ * IF 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 ~ · 1~ YES, PROVIDE A COPY. STATE OF NEW YORK) ,~I~ ~' ~"~ ~.~[_ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, ~jHe 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 ~ application; that all statements contained in this application are hue 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. ~ ~ w Notary Public ANN MARIE PLACET Signature of Al~ticant Notary Public, State of New York No. 01PL6110342 Qualified in Nassau Count/ Commission Expires May 24, 2n Town Hall Annex 54375 Main Road P.O. Box 1179 Soulhold, NY 11971-0959 roger.dc BUII,DING DEPARTMENT TOWN OF SOUTHOLD ~hone (631) 765-180~ BLDG. DEPT, TOWN OF $OUTHOLD APPLICATION FOR ELECTRICAL INSPECTION Company Name: Name: No.: No.: JOBSITE INFORMATION: (*Indicates required information) *Name: *Address: 3 ~ ~o~5~ ~ ~ /~ *Cross Street: ~/~ *Phone No.: ~/~ Pe~it No.: Tax Map District: 1000 Section: ~ Block: *BRIEF DESCRIPTION OF WORK (Please Pdnt Cleady) Lot: (Please Circle All That Apply) *Is job ready for inspection: *Do.you need a Temp Certificate: Temp Information (If. needed] *Service Size: 1 Phase *New Service: Re-connect Additional Information: 3Phase ("~ NO Rough In 100 150 200 300 350 400 Underground Number of Meters Change of Service PAYMENT DUE WITH APPLICATION Olher Overhead 82-Request for Inspection Form Condon Engineering, P.C. New York State Licensed Professional Engineers t755 Sigsbee Road Mattituck, New York 11952 condonengineering.com 631-298-1986 Fax 631-298-2651 October 2, 2011 Mr. Mark Fadna 355 Hobson Drive Mattituck, New York 11952 Dear Mr. Fadna: Attached is the building permit application for your input. Please sign and get the document notarized. Also attach a copy of the survey of the property. In addition you will have to make a check out fo the Town of Southold for the following: ~' Rental Permit- $150.00 > As built building pe~¢;;:~21~l~0 + $.40/squam foot x 2 = 200 + 2 x (.40 x 463.3 sf ) = $200.00 + $370.~ Also attached are the drawings,which outline the work that has fo be completed per the building code. File the documents and drawings with the building department. Please do not start work until the drawings are approved and a permit is issued. There may be additional requirements beyond those shown on the drawings. If you have any questions please call me at 298-1986. Yours truly, OCT 11 201] BLDG DEPT. TO'i¥~ OF SOU~'HOLD 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 SOUTHOLD July 3, 2012 Mark & Deborah Farina 355 Hobson Dr 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 Certificate. (contact your electrician) A fee of $$0.00. ,Final Health Department Approval. //'/Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84) ~~icat e off.Compliance. (Town Trustees # 765-1892) "' Fih'M'PI a n nin g'~t:?a~d App__8) ..~'~./' Final Fire Inspection from Fire Marshall. __ Final Landmark Preservation approval. BUILDING PERMIT: 36772 - "As Built" Accessory Apartment BUILDING PERMIT EXAMINER CHECKLIST Applicant: A~'hitccffEngineer: Property Address: ~-~ Subdivision: *Date Submitted: Own er: Estimated Cost: r ... ~. Zone: Conforming? City:/~~ Pre COs? 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: ACT. Lot Size: REQ. Front ACT. Front .REQ Side ACT. Side REQ. Height..3~/ ACT. Height. BP -Z / C/0 Z- , Info: BP__ -Z / C/O Z- , Info: REQ. Lot Coy. ~o~o ACT: LOt REQ. Rear ' PROP. Rear -- Proje~ D~scrlption:z~5~*~, ~/,~, r~_-~ ",.~.~t_.~.. ) ~~~~.~ Waterfront? Y ~ ~ -- - ~ Ify~, water body: Panelg ~ Flood ADDITIONAL APPROVALS REQUIRED Suffolk County Health: Y o~- If yes, ~Bedg: __ *Date: / / *Permit: Town Septic: - If no, certification required: Y or N Received: Y or N By: ~S DEC: ea~cwu:s Y o~- Date: / / Permit Southold Trustees: Y or~ Date: / Permit Southold ZBA: Y o~- Date: / / Permit Southold Planning: Y o~- Date: / Permit g: - Not~: Town Landmark C of A: Y oraTE: __ __/ ~ *~S CODE ~ompliance (page 2): Y or N Notes: [~ ~ ~. ~ ~, or NJ Letter - Notes: or NJ Letter - Notes: - Notes: Fee Structure: Foundation: SF First Floor: +(a3 ,~ SF Second Floor: SF Other: SF Total: q~ 3' ~ SF Calculation: Oo %9, x $ ,: + Initial Fee: Addition9l Fee ( ): SF X $. + Initial Fee: Additional Fee ( ): ~ ~ ~',3 ~'- TOTAL: $ I ~Lo O, 770. NEW YORK STATE CODE COMPLIANCE CHECKLIST CLIMATIC/GEOGRAPHIC DESIGN CRITERIA: Ground Snow Load: g0 Weathering: Severe__ Design Temp: 11 Frost Depth: 36" Ice Shield Underlay: YES USE/OCCUPANCY CLASSIFICATION: HEIGI~/FIRE AKEA: TYPE OF CONSTRUCTION: DESIGN CRITERIA: ENGINEEREDfPRESCP, IPTIVE FULL FIL4MING DESIGN ELEMENTS: Y/N HEADERS: YfN WALL sTUDs: CEILING JOISTS: Y/N FLOOR JOISTS: LWi~BER SPECIES AND GtC&DE: Y/N Wind Speed: 120MPH Seismic Design Categoryi Termite: M-H Decay: Flood Hazards: GI1LD ERS: Y/Iq ROOF ILAIZTERS: Y/Iq WINDOW AND DOOR SCHEDULE: · MISSLE TEST REQUIREh~[ENTS: Y/N EGRESS 5.7 S.F.: Y/N LIGHT 8%: YIN XrENT 4%: Y/N . NAILING/CONSTRUCTION SCHEDULE: Y/N MEANS OF EGRESS: Y/N PLUMBFI',IG P,2SER DIAGRAM: Yflq LOCATION OF FIILE PROTECTION EQU1]?MENT: Y/N TRUSS DESIGN: Y/N CERTIFICATION: YfN ENERGY CALCS: Y/N (RE. SCJ~EcK~ TOTAL COMPLIENCE? Y/N (RETURN TO PAGE ONE) ?=:,URVE'r' OF: PROPERTY SITUATE.' I'"~TTITUC. K · C~=t=OLK C,4::¢)NT~, N~ N JOHN C. EHLERS LAND SIJRVEYOR Scope o~ New Work * Raise Ceiling in Apartment Spaces fTom 6'-7" to 6'-8". * Install ~" Type "X" gypsum board for 1 hour fire rating on all ceilings in apartment spaces. * Install ~" Type "X" gypsum board for I hour fire rating on walls and ceiling In stair to exterior. * Install ~" Type "X" gypsum board for 1 hour fire rating on wall between apartment space and owners storage space. * Install ~ hour rated doors with self closing hinges to owners cellar storage space and k~tchen located at the top of the stairway. * Install new hard wired smoke and carbon monoxide detectors as shown on drawing. * Replace existing vent fan in the bathroom with a new wall mounted fan and vent through edjacen4 window. Boiler Room 'TYpe'x"GY u..m'or"::; / ~,, Doorwith Self~!?slng~ Owner's Storage ~ Hinges I Hour Fir* ~" Type "X" (~ Interior Wails and Ceiling in Stairway Door with I Space at To Remove Existing Ceiling New Wall Mounted Vent Fan Vent Through Window Total Habitable Floor Area First Floor- Excludes Garage = 1,289 sf Total Including Cellar Apartment = 1,742 sf Total Habitable Floor Area 463 sf New Ceiling Height 6'-8" CO I Hour Fire Rated Ceiling Covered with ~" Type "X" Gypsum Board Throughout Space t '31" W x 17" h Window~ PLUMBING COMPLY WITH ALL CODES OF NEW YORK STATE & TOWN CODES AS REQUIRED AND COi,~dT;CNC O~ ~0~t~ TO~ Z~.~ / '/_/m ~8. DEC Windows 45" x 45" Window Clear Opening #x42 1/2"h Total Clear Area = 6.05 sf Sill 34 1/2" Above Floor OCCUPANCY OR USE IS UNLAWFUl WITHOUT CERTIF, OF OCCUPANCY Window Well 45" x 47" = 14.7 sf APPROVED AS NOT£D NOTIFY BUILDINO ' r R1 .ENT AT 765-1802 8 AM T ~ ' r M FOR THE FOLLOW[MO INSPPClr: NS I FOUNDATION i,V)REQUiRED FOR POURED: ONCRETE ROUGH.FRAMING PLUMBING, STRAPPING ELECTRICAL & CAULKING 3 INSULATION 4 FiNAL-CONSTRUCTION&ELECTRICAL MUST BE COMPLETE FOR CO ALL CONSTRUCTION SHALL MEET'lillE REQUIREMENTS OF THE CODES OF NEW YORK STATE NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS PLUMBER CERTIFICATION ON LF_.A~ CONTENT BEFORE CERTIFICATE OF OCCUPANCY SOLDER USED IN WA TER SUPPLY SYSTEM CANNOT ~_~CEED2/100FI%LEAD. ent I 41 Or , I I /I ~TE